FORM 1023-EZ for CLE ELUM ROSLYN SCHOOLS PAC

Field Data
EIN 91-1319793
Case Number EO-2019329-000211
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLE ELUM ROSLYN SCHOOLS PAC
Organization’s Mailing Address 2696 SR 903
City CLE ELUM
State WA
ZIP 98922
Accounting period End 6
Primary contact name CAROL DEBORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROL DEBORD
TREASURER
2696 SR 903
CLE ELUM WA 98922

Officer/Director/Trustee Two

SARA BOWTHORPE
PRINCIPAL OFFICER
2696 SR 903
CLE ELUM WA 98922

Officer/Director/Trustee Three

TINA ROCKWELL
PRINCIPAL OFFICER
2696 SR 903
CLE ELUM WA 98922

Officer/Director/Trustee Four

WENDIE KELLY
PRINCIPAL OFFICER
2696 SR 903
CLE ELUM WA 98922

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/97
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CAROL DEBORD
Signature Title PRINCIPAL OFFICER
Signature Date 11/21/19

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