FORM 1023-EZ for PACIFIC NORTHWEST CENTER FOR HOLISTIC MANAGEMENT

Field Data
EIN 46-4181977
Case Number EO-2014322-000110
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PACIFIC NORTHWEST CENTER FOR HOLISTIC MANAGEMENT
Organization’s Mailing Address 6684 E HWY 124
City PRESCOTT
State WA
ZIP 99348
Accounting period End 6
Primary contact name W DOUGLAS WARNOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SANDRA MATHESON
PRESIDENT, DIRECTOR
228 E SMITH RD
BELLINGHAM WA 98226

Officer/Director/Trustee Two

CRAIG MADSEN
VICE PRESIDENT, DIRECTOR
PO BOX 107
EDWALL WA 99008

Officer/Director/Trustee Three

W DOUGLAS WARNOCK
SEC/TREAS, DIRECTOR
6684 E HWY 124
PRESCOTT WA 99348

Officer/Director/Trustee Four

MAURICE ROBINETTE
DIRECTOR
S 16102 WOLFE ROAD
CHENEY WA 99004

Officer/Director/Trustee Five

BETH ROBINETTE
DIRECTOR
20811 W SALNAVE RD
CHENEY WA 99004

Organization’s website PNCHM.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2013
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B02 - Management & Technical Assistance
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 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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