FORM 1023-EZ for COUGAR MOUNTAIN MIDDLE SCHOOL PTSA

Field Data
EIN 87-0908133
Case Number EO-2021187-000129
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COUGAR MOUNTAIN MIDDLE SCHOOL PTSA
Organization’s Mailing Address 8814 137TH AVE SE
City NEWCASTLE
State WA
ZIP 98059
Accounting period End 6
Primary contact name KARISSA MOBILIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARISSA MOBILIA
CO PRESIDENT
6249 160TH AVE SE
BELLEVUE WA 98006

Officer/Director/Trustee Two

ELYSA PIHA
CO PRESIDENT
8803 137TH AVE SE
NEWCASTLE WA 98059

Officer/Director/Trustee Three

MARY MCGUIRE BROWN
TREASURER
8814 137TH AVE SE
NEWCASTLE WA 98059

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2021
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KARISSA MOBILIA
Signature Title CO PRESIDENT
Signature Date 7/1/2021

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