FORM 1023-EZ for R3 COMMUNITY SERVICES

Field Data
EIN 81-1636088
Case Number EO-2017086-000293
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name R3 COMMUNITY SERVICES
Organization’s Mailing Address 550 SW 7TH ST B 305
City RENTON
State WA
ZIP 98057
Accounting period End 12
Primary contact name RICK DIMMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICK DIMMER
PRESIDENT
2509 NE 4TH ST
RENTON WA 98056

Officer/Director/Trustee Two

KEVIN PETERMAN
TREASURE
2305 S 96TH ST F623
TACOMA WA 98444

Officer/Director/Trustee Three

KIMBERLY WARREN
SECRETARY
3526 25TH AVE SW 9-203
FEDERAL WY WA 98203

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/28/2015
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: No
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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