FORM 1023-EZ for PASS

Field Data
EIN 83-3856799
Case Number EO-2019098-000236
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PASS
Organization’s Mailing Address 10126 N ANDREW ST
City SPOKANE
State WA
ZIP 99218
Accounting period End 12
Primary contact name MONACA DUFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONACA DUFF
PRESIDENT AND DIRECTOR
10126 N ANDREW ST
SPOKANE WA 99218

Officer/Director/Trustee Two

CHRISTINE POMEROY
TREASURER AND DIRECTOR
1927 E 9TH AVE
SPOKANE WA 99202

Officer/Director/Trustee Three

HEATHER WILLIAMS
VICE PRESIDENT AND DIRECTOR
607 E 17TH AVE
SPOKANE WA 99203

Officer/Director/Trustee Four

REBECCA CLEMENS
SECRETARY AND DIRECTOR
2008 S HERALD RD
SPOKANE WA 99206

Officer/Director/Trustee Five

THOMAS STEPHENS
DIRECTOR
323 W 23RD
SPOKANE WA 99203

Organization’s website
Organization’s email MONACA.PASS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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 MONACA DUFF
Signature Title PRESIDENT AND DIRECTOR
Signature Date 4/4/19

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