FORM 1023-EZ for DEER PARK SAN

Field Data
EIN 82-3056368
Case Number EO-2019030-000958
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DEER PARK SAN
Organization’s Mailing Address PO BOX 156
City DEER PARK
State WA
ZIP 99006
Accounting period End 8
Primary contact name SCARLETT RIEBOLD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MEGAN HILL
PRESIDENT
4296 GROTE RD
CLAYTON WA 99110-9750

Officer/Director/Trustee Two

SCARLETT RIEBOLD
TREASURER
4017 W DAVIS RD
DEER PARK WA 99006-9518

Officer/Director/Trustee Three

WENDY COLVILLE
SECRETARY
4579 GARDEN SPOT RD
DEER PARK WA 99006-8405

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SCARLETT RIEBOLD
Signature Title TREASURER
Signature Date 12/28/18

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