FORM 1023-EZ for BREAST ADVOCATES INTERNATIONAL

Field Data
EIN 83-4176186
Case Number EO-2019092-000121
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREAST ADVOCATES INTERNATIONAL
Organization’s Mailing Address 7720 NE HWY 99 SUITE D225
City VANCOUVER
State WA
ZIP 98665-8859
Accounting period End 6
Primary contact name SHARON HENIFIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARON HENIFIN
PRESIDENT
18485
TUALATIN OR 97062-8064

Officer/Director/Trustee Two

ANDREW LAWTHON
TREASURER
6101 NW LINCOLN AVE
VANCOUVER WA 98663-1159

Officer/Director/Trustee Three

MELISSA NYE
CHAIRMAN
1011 NW 59TH ST
VANCOUVER WA 98663-1108

Officer/Director/Trustee Four

COLBY BLACK
SECRETARY
13405 NE SALMON CREEK AVE
VANCOUVER WA 98686-2821

Officer/Director/Trustee Five

CHARMAINE HOURIET
DIRECTOR
700 NE 87TH
VANCOUVER WA 98664-1913

Organization’s website WWW.BREASTADVOCATES.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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 SHARON HENIFIN
Signature Title PRESIDENT
Signature Date 3/28/19

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