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FOURTH PLAIN FORWARD

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Company Details

Legal Name: FOURTH PLAIN FORWARD
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: June 26th 2017
Expiration date: 30 Jun 2026
UBI Number: 604 143 273
FEIN Number: 82-2923189
ZIP code: 98661
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 5107 E FOURTH PLAIN BLVD STE 111, VANCOUVER, WA, 98661-8505, UNITED STATES

Contact Details

E-Mail: PAUL.BURGESS@FOURTHPLAINFORWARD.ORG
Phone Number: +1 360-258-0817

Nature of Business

THE CORPORATION SHALL BE A COMMUNITY DEVELOPMENT CORPORATION WITH THE PURPOSE OF FOSTERING SOCIAL JUSTICE AND EQUITABLE GROWTH FOR DIVERSE, LOW-INCOME COMMUNITIES THROUGH HOUSING, HEALTH, AND ECONOMIC DEVELOPMENT.

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Registered Agent Information

Name Role Address
MARSHALL K STAGG Registered Agent 805 BROADWAY ST STE 1000, VANCOUVER, WA, 98660-3343, UNITED STATES

Key Officers & Management

Name Role
SHARIF BURDZIK Governing Person
LOURDES SALMONTE-GARCIA Governing Person
MELISSA WILLIAMS Governing Person
MARIANA ZARAGOZA Governing Person
DR TERRY BROWN Governing Person
KIM HARLESS Governing Person
WILLIAM STEINER Governing Person
KYLE ROSLUND Governing Person
NICHOLE PEPPERS Governing Person

Unique Entity ID

Unique Entity ID:
FVE9GXLD3348
CAGE Code:
879X0
UEI Expiration Date:
2026-05-30

Business Information

Division Name:
FOURTH PLAIN FORWARD
Activation Date:
2025-06-03
Initial Registration Date:
2018-11-06

Commercial and government entity program

CAGE number:
879X0
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2025-06-03
SAM Expiration:
2026-05-30

Contact Information

POC:
PAUL BURGESS

National Provider Identifier

NPI Number:
1215774229
Certification Date:
2024-07-09

Authorized Person:

Name:
WIL FUENTES
Role:
PROGRAM MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
822923189
Plan Year:
2023
Number Of Participants:
0
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
PAUL BURGESS(Plan administrator)

Tax Exempt

Employer Identification Number (EIN):
82-2923189
In Care Of Name:
% WILLIAM D STEINER JR
Ruling Date:
2018-02
National Taxonomy Of Exempt Entities:
Community Improvement, Capacity Building: Urban, Community Economic Development
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Form 990-N Filings

Tax Year:
2017
Gross Revenue ≤ $50K:
Yes
Terminated:
No
Officer:
Bill Steiner
Tax Period:
2017-01-01

Copies of Returns

Return Type:
990
Tax Period:
202212
Link:
Return Type:
990
Tax Period:
202112
Link:
Return Type:
990EZ
Tax Period:
201912
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