FORM 1023-EZ for CAMP INSPIRE

Field Data
EIN 47-1919556
Case Number EO-2015041-000256
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMP INSPIRE
Organization’s Mailing Address PO BOX 1375
City DUVALL
State WA
ZIP 98019-1375
Accounting period End 1
Primary contact name BRYAN CARROLL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRYAN CARROLL
CO-FOUNDER
1570 3RD AVE NE
DUVALL WA 98019

Officer/Director/Trustee Two

CANDIS CLARK
CO-FOUNDER
17161 SEALAWN DR
EDMONDS WA 98026

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/2014
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 Yes
Donation of funds Yes
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
Signature Title
Signature Date

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