FORM 1023-EZ for KANGEN KARES
| Field | Data |
|---|---|
| EIN | 83-2605942 |
| Case Number | EO-2019172-000170 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | KANGEN KARES |
| Organization’s Mailing Address | 5757 LITTLEROCK ROAD SW |
| City | TUMWATER |
| State | WA |
| ZIP | 98512 |
| Accounting period End | 12 |
| Primary contact name | RYAN BEDFORD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
PAM PELLEGRINO
PRESIDENT/TREASURER
PO BOX 14909
TUMWATER WA 98511
Officer/Director/Trustee Two
JEFFREY PETTERA
BOARD MEMBER
203 WOOD ROAD
ROCKFORD IL 61107
Officer/Director/Trustee Three
VERONICA MCCANN
SECRETARY
2622 146TH ST E
TACOMA WA 98445
Officer/Director/Trustee Four
RYAN BEDFORD
BOARD MEMBER
1800 COOPER POINT ROAD SW BLDG 3
OLYMPIA WA 98502
Officer/Director/Trustee Five
JERALD LONG
BOARD MEMBER
PO BOX 12087
OLYMPIA WA 98508
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/7/18 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | K99 - Food, Agriculture, and Nutrition N.E.C. |
| Organization’s purpose | Charitable: Yes 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 | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | RYAN BEDFORD |
| Signature Title | BOARD MEMBER |
| Signature Date | 6/18/19 |
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