FORM 1023-EZ for ROSEBUD CHILDRENS THEATRE CONSERVATORY

Field Data
EIN 61-1647130
Case Number EO-2018241-000305
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROSEBUD CHILDRENS THEATRE CONSERVATORY
Organization’s Mailing Address PO BOX 23688
City FEDERAL WAY
State WA
ZIP 98093
Accounting period End 12
Primary contact name HOLLY ROSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOLLY ROSE
ARTISTIC DIRECTOR
4630 SW 333RD COURT
FEDERAL WAY WA 98023-3220

Officer/Director/Trustee Two

KELLY NORRIS
PRESIDENT
421 S 302ND ST
FEDERAL WAY WA 98003

Officer/Director/Trustee Three

SUSAN BOWDER
SECRETARY
3426 52ND PL NE
TACOMA WA 98422

Officer/Director/Trustee Four

FRANK WILSON
TREASURER
1623 PACIFIC RIDGE DR SE
LACEY WA 98513

Officer/Director/Trustee Five

BRIAN SOUSHEK
BOARD MEMBER
12517 SE 261ST ST
KENT WA 98030

Organization’s website WWW.ROSEBUDCTC.ORG
Organization’s email INFO@ROSEBUDCTC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/11
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A65 - Theater
Organization’s purpose Charitable: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HOLLY ROSE
Signature Title ARTISTIC DIRECTOR
Signature Date 8/27/18

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