FORM 1023-EZ for PENINSULA COUNCIL OF THE BLIND

Field Data
EIN 84-3573996
Case Number EO-2019310-000208
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PENINSULA COUNCIL OF THE BLIND
Organization’s Mailing Address 273 WILLOW STREET
City BREMERTON
State WA
ZIP 98310
Accounting period End 12
Primary contact name JAMES KINNISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES KINNISON
PRESIDENT
273 WILLOW STREET
BREMERTON WA 98310

Officer/Director/Trustee Two

CAROL GRAY
VICE PRESIDENT
19437 1ST AVE NE
POULSBO WA 98370

Officer/Director/Trustee Three

MIKE MAGUER
SECRETARY
5307 STATE HWY 303 NE
BREMERTON WA 98310

Officer/Director/Trustee Four

JOANNE HUNTER
TREASURE
259 BRISTLECONE DR
BREMERTON WA 98310

Officer/Director/Trustee Five

MICHELLE DENZER
BOARD MEMBER
9725 DANWOOD LANE NW APT 111
SILVERDALE WA 98383

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/00
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G41 - Eye Diseases, Blindness and Vision Impairments
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMES KINNISON
Signature Title PRESIDENT
Signature Date 11/4/19

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