FORM 1023-EZ for TRI-CITIES JUNETEENTH COMMUNITY COUNCIL

Field Data
EIN 81-3459271
Case Number EO-2017184-000314
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRI-CITIES JUNETEENTH COMMUNITY COUNCIL
Organization’s Mailing Address 419 N OWEN AVE
City PASCO
State WA
ZIP 99301
Accounting period End 12
Primary contact name VANIS DANIELS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VANIS DANIELS
PRESIDENT, DIRECTOR
419 N OWEN AVE
PASCO WA 99301

Officer/Director/Trustee Two

CHARVELLA MAGARY
SECRETARY, DIRECTOR
419 N OWEN AVE
PASCO WA 99301

Officer/Director/Trustee Three

HAZEL DANIELS
TREASURER, DIRECTOR
1507 E ALVINA ST
PASCO WA 99301

Officer/Director/Trustee Four

JOHN STATON
DIRECTOR
419 N OWEN AVE
PASCO WA 99301

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2016
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: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
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 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
Signature Title
Signature Date

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