FORM 1023-EZ for CROWN VALLLEY ESTATES NEIGHBORHOOD

Field Data
EIN 91-1645307
Case Number EO-2014223-000324
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CROWN VALLLEY ESTATES NEIGHBORHOOD
Organization’s Mailing Address 7308 141ST STREET COURT EAST
City PUYALLUP
State WA
ZIP 98373-8274
Accounting period End 4
Primary contact name NIKKI SHANNON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NIKKI SHANNON
TREASURER
7308 141ST STREET COURT EAST
PUYALLUP WA 98373-8274

Officer/Director/Trustee Two

MARY MINSK
PRESIDENT
14325 74TH AVENUE COURT EAST
PUYALLUP WA 98373-8266

Officer/Director/Trustee Three

LINDA DUBAY
SECRETARY
14322 74TH AVENUE COURT EAST
PUYALLUP WA 98373-8266

Officer/Director/Trustee Four

EDWARD MAXWELL
VICE-PRESIDENT
14509 73RD AVENUE COURT EAST
PUYALLUP WA 98375-7069

Organization’s website
Organization’s email NIKSHANNON@COMCAST.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/1994
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S22 - Neighborhood, Block Associations
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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