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

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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