FORM 1023-EZ for H2O COALITION

Field Data
EIN 81-3708263
Case Number EO-2016293-000488
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name H2O COALITION
Organization’s Mailing Address 8201 164TH AVENUE NE SUITE 200
City REDMOND
State WA
ZIP 98052-7615
Accounting period End 12
Primary contact name STEVEN JEWETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVEN JEWETT
DIRECTOR
8201 164TH AVENUE NE SUITE 200
REDMOND WA 98052-7615

Officer/Director/Trustee Two

KAREN SWIFT
DIRECTOR
2222 BAIRD AVENUE
SNOHOMISH WA 98290-2218

Officer/Director/Trustee Three

TERRY PETERSON
DIRECTOR
566 NORTH DIXIE DRIVE
SAINT GEORGE UT 84770-5153

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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
Signature Title
Signature Date

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