FORM 1023-EZ for SEATTLE DOCUMENTARY ASSOCIATION

Field Data
EIN 83-1033476
Case Number EO-2018190-000235
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SEATTLE DOCUMENTARY ASSOCIATION
Organization’s Mailing Address 1515 12TH AVE C/O RITA MEHER
City SEATTLE
State WA
ZIP 98122
Accounting period End 12
Primary contact name RITA MEHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RITA MEHER
TREASURER
1826 247 PL NE
SAMMAMISH WA 98074

Officer/Director/Trustee Two

JONAH KOZLOWSKI
DIRECTOR
3018 NW 71ST ST
SEATTLE WA 98117

Officer/Director/Trustee Three

ELLIAT GRANEY-SAUCKE
PRESIDENT
511A 26TH AVE S
SEATTLE WA 98144

Officer/Director/Trustee Four

AMY BENSON
DIRECTOR
4408 DELRIDGE WAY SW
SEATTLE WA 98106

Officer/Director/Trustee Five

MARCELLA CALLEROS
DIRECTOR
12527 50TH DR SE
EVERETT WA 98208

Organization’s website HTTP://SEATTLEDOCUMENTARY.ORG/
Organization’s email RITA@TASVEER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/18
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: 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 RITA MEHER
Signature Title TREASURER
Signature Date 7/6/18

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