FORM 1023-EZ for GODWORKS

Field Data
EIN 90-0705645
Case Number EO-2015040-000413
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GODWORKS
Organization’s Mailing Address 2408 CASCADE WAY
City LONGVIEW
State WA
ZIP 98632-5509
Accounting period End 12
Primary contact name MARK DEL GUERCIO EA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROXANNA HUFF
PRESIDENT
2408 CASCADE WAY
LONGVIEW WA 98632-5509

Officer/Director/Trustee Two

TONY HUFF
TREASURER
2408 CASCADE WAY
LONGVIEW WA 98632-5509

Officer/Director/Trustee Three

ERIN TILBROOK
DIRECTOR
506 MCGREW LOOP
AIEA HI 96701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/2011
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P31 - Adoption
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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