FORM 1023-EZ for AMUSEMENTS RUSTIQUE MUSEUM OF PASTORAL 18TH CENTURY FRANCE INC

Field Data
EIN 83-2726915
Case Number EO-2018344-000387
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMUSEMENTS RUSTIQUE MUSEUM OF PASTORAL 18TH CENTURY FRANCE INC
Organization’s Mailing Address 4500 9TH AVE NE SUITE 300
City SEATTLE
State WA
ZIP 98105
Accounting period End 12
Primary contact name TIMNA PILCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMNA PILCH
DIRECTOR
4500 9TH AVE NE SUITE 300
SEATTLE WA 98105

Officer/Director/Trustee Two

DENNY HALL
OFFICER
4500 9TH AVE NE SUITE 300
SEATTLE WA 98105

Officer/Director/Trustee Three

CURTIS LEE BERAK
OFFICER
4500 9TH AVE NE SUITE 300
SEATTLE WA 98105

Organization’s website
Organization’s email TIMNAPILCH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 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 TIMNA PILCH
Signature Title DIRECTOR
Signature Date 12/7/18

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