FORM 1023-EZ for NORTH SHORE BUSINESS ALLIANCE

Field Data
EIN 82-3909473
Case Number EO-2018057-000574
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH SHORE BUSINESS ALLIANCE
Organization’s Mailing Address 23608 155TH AVE SE
City SNOHOMISH
State WA
ZIP 98296
Accounting period End 12
Primary contact name MICHAEL ERVICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL ERVICK
DIRECTOR
23608 155TH AVE SE
SNOHOMISH WA 98296

Officer/Director/Trustee Two

DOUG HALL
DIRECTOR
117 E LOUISA ST
SEATTLE WA 98102-3203

Officer/Director/Trustee Three

POSY GERING
DIRECTOR
212 N 52ND ST
SEATTLE WA 98103-6010

Officer/Director/Trustee Four

PATTI MAGERS
DIRECTOR
11308 SE 71ST PL
NEW CASTLE WA 98056-1020

Officer/Director/Trustee Five

DEAN VAN DYKE
DIRECTOR
1567 HIGHLANDS DR NE STE 110-443
ISSAQUAH WA 98029-6245

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/18/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 MICHAEL ERVICK
Signature Title DIRECTOR
Signature Date 2/23/18

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