FORM 1023-EZ for VAMOLA BRAZILIAN MUSIC AND DANCE

Field Data
EIN 81-1036490
Case Number EO-2016012-000178
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VAMOLA BRAZILIAN MUSIC AND DANCE
Organization’s Mailing Address 15303 CORLISS PLACE N
City SHORELINE
State WA
ZIP 98133
Accounting period End 12
Primary contact name DEV NAMBI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEV NAMBI
TREASURER
15303 CORLISS PLACE N
SHORELINE WA 98133

Officer/Director/Trustee Two

GRANT EMERY
PRESIDENT
1515 MAGNOLIA BLVD W
SEATTLE WA 98103

Officer/Director/Trustee Three

MITCH FISHMAN
SECRETARY
9718 WALLINGFORD AVE N
SEATTLE WA 98103

Officer/Director/Trustee Four

ERIN HURR
PRESIDENT
3029 NE 203RD ST
LAKE FOREST PARK WA 98155

Officer/Director/Trustee Five

LISA FANN
DIRECTOR
109 N 101ST ST
SEATTLE WA 98133

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/2015
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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
Signature Title
Signature Date

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