FORM 1023-EZ for KCPP COMMUNITY OUTREACH

Field Data
EIN 83-2307436
Case Number EO-2019107-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KCPP COMMUNITY OUTREACH
Organization’s Mailing Address 10121 EVERGREEN WAY SUITE 25 244
City EVERETT
State WA
ZIP 98205
Accounting period End 12
Primary contact name SUSAN J WELLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID CHO
DIRECTOR
10311 15TH AVE CT E
TACOMA WA 98445

Officer/Director/Trustee Two

SUSAN WELLS
DIRECTOR
1802 S 18TH ST
UNION GAP WA 98903

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 Yes
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 SUSAN WELLS
Signature Title DIRECTOR
Signature Date 4/15/19

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