FORM 1023-EZ for CAPES BY SHEENA

Field Data
EIN 85-0509674
Case Number EO-2020086-000200
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAPES BY SHEENA
Organization’s Mailing Address 18920 PACIFIC AVE S
City SPANAWAY
State WA
ZIP 98387
Accounting period End 12
Primary contact name SHEENA HATHORN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHEENA HATHORN
DIRECTOR
19020
TACOMA WA 98445-4262

Officer/Director/Trustee Two

JUSTIN LAMPKIN
PRESIDENT
19020 25 AVE E
TACOMA WA 98445

Officer/Director/Trustee Three

ANDREIA CUMMINGS
VICE PRESIDENT
20831 110TH LN SE
KENT WA 98031

Officer/Director/Trustee Four

STEHPANIE RUIZ
SECRETARY
PO BOX 1837
RICHLAND WA 99352

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/2015
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 Yes
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 SHEENA HATHORN
Signature Title DIRECTOR
Signature Date 3/24/2020

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