FORM 1023-EZ for RUBY BRIDGES ELEMENTARY PTSA

Field Data
EIN 85-2905488
Case Number EO-2020297-000715
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RUBY BRIDGES ELEMENTARY PTSA
Organization’s Mailing Address 15 OREGON AVENUE SUITE 202
City TACOMA
State WA
ZIP 98409-7463
Accounting period End 6
Primary contact name KARRIE PALIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARRIE PALIS
PRESIDENT
19431 58TH AVE SE
BOTHELL WA 98012

Officer/Director/Trustee Two

LAUREN TOMLIN
VICE PRESIENT
PO BOX 12137
MILLCREEK WA 98082

Officer/Director/Trustee Three

JENNIFER HERRMAN
SECRETARY
21221 47TH AVE SE
BOTHELL WA 98021

Officer/Director/Trustee Four

ZHENG LV
TREASURER
4116 180TH PL SE
BOTHELL WA 98012

Organization’s website
Organization’s email RUBYBRIDGESPTSA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2020
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 Yes
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 Yes
Disaster relief assistance Yes
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 KARRIE PALIS
Signature Title PRESIDENT
Signature Date 10/21/2020

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