FORM 1023-EZ for SHELTER BAY CHORUS

Field Data
EIN 42-1586363
Case Number EO-2015208-000317
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHELTER BAY CHORUS
Organization’s Mailing Address 1000 SHOSHONE DR
City LA CONNER
State WA
ZIP 98257-9652
Accounting period End 12
Primary contact name SHERI MUNTEAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD PAYNTER
PRESIDENT
441 MODOC WY
LA CONNER WA 98257

Officer/Director/Trustee Two

STEFF STEINHORST
VICE PRESIDENT
681 MUCKLESHOOT CIRCLE
LA CONNER WA 98257

Officer/Director/Trustee Three

DOROTHY GROSSGLASS
SECRETARY/TREASURER
352 STILLAGUAMISH PL
LA CONNER WA 98257

Officer/Director/Trustee Four

LEA DEVERE
DIRECTOR
13449 N GREEN STREET
ANACORTES WA 98221

Organization’s website NONE
Organization’s email DGROSSGLASS@WAVECABLE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2014
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6B - Singing, Choral
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
Signature Title
Signature Date

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