FORM 1023-EZ for RESURRECTION HOUSE ORG

Field Data
EIN 82-3623766
Case Number EO-2018008-000136
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RESURRECTION HOUSE ORG
Organization’s Mailing Address 20611 BOTHELL EVERETT HWY E298
City BOTHELL
State WA
ZIP 98012
Accounting period End 11
Primary contact name NICOLE ALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE ALLEN
PRESIDENT
20611 BOTHELL EVERETT HWY E298
BOTHELL WA 98012

Officer/Director/Trustee Two

VICTORIA WOODENLEGS ALLEN
1ST VICE PRESIDENT
10560 STONE AVENUE APT2
SEATTLE WA 98133

Officer/Director/Trustee Three

JANELL CROUCH
2ND VICE PRESIDENT
10560 STONE AVENUE APT 2
SEATTLE WA 98133

Officer/Director/Trustee Four

PORTIA CAPP
SECRETARY
3412 23RS AVENUE WEST
SEATTLE WA 98199

Officer/Director/Trustee Five

KAREN ERICSON
TREASURER
1332 192ND STREET APT 70
BOTHELL WA 98012

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/29/17
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 NICOLE ALLEN
Signature Title PRESIDENT
Signature Date 1/4/18

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