FORM 1023-EZ for EARTH CREATIVE

Field Data
EIN 85-1950354
Case Number EO-2020199-000272
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EARTH CREATIVE
Organization’s Mailing Address 19545 45TH AVE NE
City LAKE FOREST PARK
State WA
ZIP 98155-1701
Accounting period End 4
Primary contact name CHRISTOPHE CHAGNARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHE CHAGNARD
EXECUTIVE DIRECTOR
19545 45TH AVENUE NE
LAKE FOREST PARK WA 98155-1701

Officer/Director/Trustee Two

DAVID WOOLLEY WILSON
BOARD OF DIRECTOR TREASURER
9840 BELFAIR RD
BELLEVUE WA 98004

Officer/Director/Trustee Three

SUZANNE LUBETKIN
BOARD OF DIRECTOR SECRETARY
922 NOB HILL AVE N
SEATTLE WA 98109-3792

Officer/Director/Trustee Four

JANE SHANAMAN
BOARD OF DIRECTOR PRESIDENT
11223 SE SEDGWICK RD
PORT ORCHARD WA 98366-8949

Officer/Director/Trustee Five

DAVID SABEE
BOARD OF DIRECTOR
7215 30TH AVE NW
SEATTLE WA 98117

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: No
Religious: No
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 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 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 CHRISTOPHE CHAGNARD
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/15/2020

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