FORM 1023-EZ for VIDA EN SHALOM
| Field | Data |
|---|---|
| EIN | 81-3952763 |
| Case Number | EO-2016286-000204 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | VIDA EN SHALOM |
| Organization’s Mailing Address | PO BOX 22743 |
| City | SEATTLE |
| State | WA |
| ZIP | 98122-0743 |
| Accounting period End | 12 |
| Primary contact name | SAMUEL DAHLIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MARK BAKER
PRESIDENT
3930 E KERCKHOFF AVE
FRESNO CA 93702
Officer/Director/Trustee Two
SAMUEL DAHLIN
TREASURER
5041 22ND AVE NE
SEATTLE WA 98105
Officer/Director/Trustee Three
LYNN BAKER
VICE PRESIDENT
3930 E KERCKHOFF AVE
FRESNO CA 93702
Officer/Director/Trustee Four
CHRISTIE DAHLIN
SECRETARY
5041 22ND AVE NE
SEATTLE WA 98105
Officer/Director/Trustee Five
DIANE CLARK
DIRECTOR
2305 ELENDIL LANE
DAVIS CA 95616-3043
| Organization’s website | N/A |
|---|---|
| Organization’s email | VIDA.EN.SHALOM@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/12/2016 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X12 - Fund Raising and/or Fund Distribution |
| 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 | Yes |
| Conducting Activities Outside of United States | Yes |
| 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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