FORM 1023-EZ for SHELLHOST

Field Data
EIN 83-1460858
Case Number EO-2018323-000636
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHELLHOST
Organization’s Mailing Address 506 2ND AVE STE 1400
City SEATTLE
State WA
ZIP 98104
Accounting period End 12
Primary contact name CHRISTIAN SEVERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTIAN SEVERT
EXECUTIVE DIRECTOR
506 2ND AVE STE 1400
SEATTLE WA 98104

Officer/Director/Trustee Two

RYAN WHITEMAN
DIRECTOR
506 2ND AVE STE 1400
SEATTLE WA 98104

Officer/Director/Trustee Three

JORDAN BOLAND
DIRECTOR
506 2ND AVE STE 1400
SEATTLE WA 98104

Organization’s website
Organization’s email CORP_SECRETARY@SHELLHOST.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U02 - Management & Technical Assistance
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 CHRISTIAN SEVERT
Signature Title EXECUTIVE DIRECTOR
Signature Date 11/16/18

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