FORM 1023-EZ for HOLMAN RECOVERY CENTER
| Field | Data |
|---|---|
| EIN | 83-2236875 |
| Case Number | EO-2019102-000139 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HOLMAN RECOVERY CENTER |
| Organization’s Mailing Address | 215 266TH PLACE NE |
| City | ARLINGTON |
| State | WA |
| ZIP | 98223-7439 |
| Accounting period End | 12 |
| Primary contact name | EDMUND SMITH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
EDMUND SMITH
PRESIDENT OF THE BOARD OF DIRECTORS
215 266TH PLACE NE
ARLINGTON WA 98223-7439
Officer/Director/Trustee Two
MAYNARD KIELTY
VICE PRESIDENT OF THE BOARD
1625 151ST PL NE
ARLINGTON WA 98223-9653
Officer/Director/Trustee Three
HEATHER BANKS
TREASURER
8527 195TH ST NE
ARLINGTON WA 98223-9758
Officer/Director/Trustee Four
CATHERINE MATSON
SECRETARY
22107 66TH AVE W - 8D
MOUNTLAKE TERRACE WA 98043-2450
Officer/Director/Trustee Five
GINA WASSEMILLER
BOARD MEMBER
3601 186TH PLACE NE - B
ARLINGTON WA 98223-7928
| Organization’s website | HOLMANRECOVERYCENTERPROJECT.COM |
|---|---|
| Organization’s email | HOLMANRECOVERYCENTER@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/20/18 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | 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 | EDMUND SMITH |
| Signature Title | PRESIDENT OF THE BOARD OF DIRECTORS |
| Signature Date | 4/10/19 |
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