FORM 1023-EZ for ACT - A COMMON THREAD

Field Data
EIN 85-1799580
Case Number EO-2020239-000404
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ACT - A COMMON THREAD
Organization’s Mailing Address 2914 21ST AVE CT SE
City PUYALLUP
State WA
ZIP 98372-1712
Accounting period End 12
Primary contact name BRENDA JALLITS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENDA JALLITS
PRESIDENT
2914 21ST AVE CT SE
PUYALLUP WA 98372-1712

Officer/Director/Trustee Two

LIZ LARSON
VICE PRESIDENT
9108 158TH ST E
PUYALLUP WA 98375-8956

Officer/Director/Trustee Three

DIANA BURROUGHS
SECITARY
17024 SCANDIA CT NW
POUSLBO WA 98370

Officer/Director/Trustee Four

ADAM SCHULL
TEASURER
2914 21ST AVE CT SE
PUYALLUP WA 98372-1712

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M11 - Single Organization Support
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 Yes
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 BRENDA JALLITS
Signature Title PRESIDENT
Signature Date 8/24/2020

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