FORM 1023-EZ for UNIVERSITY OF WASHINGTON SCHOOL OF DENTISTRY CLASS OF 2020

Field Data
EIN 81-4126557
Case Number EO-2017082-000353
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNIVERSITY OF WASHINGTON SCHOOL OF DENTISTRY CLASS OF 2020
Organization’s Mailing Address 1959 NE PACIFIC ST D322 BOX 356365
City SEATTLE
State WA
ZIP 98195
Accounting period End 4
Primary contact name VICTOR BAUER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICAH BOVENCAMP
PRESIDENT
3402 12TH AVE W
SEATTLE WA 98119

Officer/Director/Trustee Two

ESTHER YI
VICE PRESIDENT
4825 38TH AVE NE
SEATTLE WA 98105

Officer/Director/Trustee Three

VICTOR BAUER
TREASURER
3365 115TH AVE NE APT128
BELLEVUE WA 98004

Officer/Director/Trustee Four

RACHEL KEHR
SECRETARY
2109B 14TH AVE S
SEATTLE WA 98115

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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