FORM 1023-EZ for BAYSIDE SENSORY PLAY

Field Data
EIN 82-3879019
Case Number EO-2018059-000254
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BAYSIDE SENSORY PLAY
Organization’s Mailing Address 1104 DONOVAN AVENUE
City BELLINGHAM
State WA
ZIP 98225
Accounting period End 12
Primary contact name TINA TARVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TINA TARVER
CHIEF EXECUTIVE OFFICER, TREASURER,
1104 DONOVAN AVENUE
BELLINGHAM WA 98225

Officer/Director/Trustee Two

SHERRY HAWTHORNE
TRUSTEE
1104 DONOVAN AVENUE
BELLINGHAM WA 98225

Officer/Director/Trustee Three

SIV SPAIN
TRUSTEE
1104 DONOVAN AVENUE
BELLINGHAM WA 98225

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/17
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 TINA TARVER
Signature Title CHIEF EXECUTIVE OFFICER, TREASURER,
Signature Date 2/26/18

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