FORM 1023-EZ for ADULLAM SCHOOL OF DISCIPLESHIP

Field Data
EIN 86-1931931
Case Number EO-2021144-000091
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADULLAM SCHOOL OF DISCIPLESHIP
Organization’s Mailing Address 4511 DENSMORE AVE N
City SEATTLE
State WA
ZIP 98103-6783
Accounting period End 12
Primary contact name AGOSTON SZEPESSY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRYAN STAAB
PRESIDENT DIRECTOR
130 E BISMARK ST
TACOMA WA 98404-1214

Officer/Director/Trustee Two

AGOSTON SZEPESSY
VP TREASURER DIRECTOR
1823 TERRY AVE APT 2208
SEATTLE WA 98101-2409

Officer/Director/Trustee Three

JEANIE PHAM
SECRETARY DIRECTOR
595 156TH AVE SE APT C-211
BELLEVUE WA 98007-5364

Organization’s website
Organization’s email HELLO@WEAREADULLAM.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 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 AGOSTON SZEPESSY
Signature Title VP TREASURER DIRECTOR
Signature Date 5/21/2021

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