FORM 1023-EZ for PENINSULA SUPPORT ORGANIZATION
| Field | Data |
|---|---|
| EIN | 82-2040628 |
| Case Number | EO-2017193-000307 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PENINSULA SUPPORT ORGANIZATION |
| Organization’s Mailing Address | 120 SPINNAKER PL |
| City | PORT LUDLOW |
| State | WA |
| ZIP | 98365-9537 |
| Accounting period End | 12 |
| Primary contact name | MYRON VOGT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MYRON VOGT
CHAIRMAN
166 GREENVIEW LN
PORT LUDLOW WA 98365-9537
Officer/Director/Trustee Two
CLINTON WEBB
VICE CHAIRMAN
116 TIMBER MEADOW DR
PORT LUDLOW WA 98365-9537
Officer/Director/Trustee Three
BARBARA BERTHIAUME
SECRATARY
671 RAINIER LN
PORT LUDLOW WA 98365-9537
Officer/Director/Trustee Four
JACK RANDALL
TREASURER
360 TALA SHORE DR
PORT LUDLOW WA 98365-9537
Officer/Director/Trustee Five
ROBERT KEEVER
DIRECTOR
13366 OLD MILITARY RD
POUSLBO WA 98370
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/7/2017 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: Yes |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | No |
| Donation of funds | Yes |
| 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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