FORM 1023-EZ for RELIGICA

Field Data
EIN 83-2144940
Case Number EO-2019115-000222
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RELIGICA
Organization’s Mailing Address 114 NORTH 171ST STREET
City SHORELINE
State WA
ZIP 98133
Accounting period End 12
Primary contact name MR MICHAEL REID TRICE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL TRICE
DIRECTOR
114 NORTH 171ST STREET
SHORELINE WA 98133

Officer/Director/Trustee Two

KAREN FUJII
DIRECTOR
227 BELLEVUE WAY NE NO 259
BELLEVUE WA 98004

Officer/Director/Trustee Three

ROCKY PIRO
DIRECTOR
392 NORTH EMERSON STREET
DENVER CO 80218

Officer/Director/Trustee Four

ELIZABETH RAMSEY
DIRECTOR
15 YORK LANE
LOS LUNAS NM 87031

Officer/Director/Trustee Five

MARCIA RIGGERS
DIRECTOR
9105 FORTUNA DRIVE APT 8321
MERCER ISLAND WA 98040

Organization’s website RELIGICA.ORG
Organization’s email INFO@RELIGICA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 KAREN FUJII
Signature Title DIRECTOR
Signature Date 4/23/19

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