FORM 1023-EZ for MYWILLAPA

Field Data
EIN 82-3503746
Case Number EO-2017333-000362
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MYWILLAPA
Organization’s Mailing Address 422 FRANKLIN STREET
City RAYMOND
State WA
ZIP 98577
Accounting period End 12
Primary contact name MICHELLE LAYMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE LAYMAN
PRESIDENT
422 FRANKLIN STREET
RAYMOND WA 98577

Officer/Director/Trustee Two

REBECCA CHAFFEE
VICE PRESIDENT
1725 OCEAN AVENUE
RAYMOND WA 98577

Officer/Director/Trustee Three

MIKE WILLIAMS
SECRETARY
400 QUINCY STREET
SOUTH BEND WA 98586

Officer/Director/Trustee Four

CHERYL GREEN
TREASURER
237 11TH STREET
RAYMOND WA 98577

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2017
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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
Signature Title
Signature Date

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