FORM 1023-EZ for A STAGE REBORN

Field Data
EIN 82-2040383
Case Number EO-2018018-000181
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A STAGE REBORN
Organization’s Mailing Address 115 N 85TH ST STE 202
City SEATTLE
State WA
ZIP 98103
Accounting period End 12
Primary contact name STEVEN PEDERZANI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVEN PEDERZANI
FOUNDER, PRESIDENT EXECUTIVE DIR.
115 N 85TH ST STE 202
SEATTLE WA 98103

Officer/Director/Trustee Two

PATRICK PLUDE
VICE PRESIDENT
115 N 85TH ST STE 202
SEATTLE WA 98103

Officer/Director/Trustee Three

DANIEL SPRING
TREASURER
115 N 85TH ST STE 202
SEATTLE WA 98103

Officer/Director/Trustee Four

ALISA YEOMAN
SECRETARY
115 N 85TH ST STE 202
SEATTLE WA 98103

Officer/Director/Trustee Five

AARON WOOLWINE
DIRECTOR
115 N 85TH ST STE 202
SEATTLE WA 98103

Organization’s website WWW.ASTAGEREBORN.COM
Organization’s email ADMIN@ASTAGEREBORN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/17
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: 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 STEVEN PEDERZANI
Signature Title FOUNDER, PRESIDENT EXECUTIVE DIR.
Signature Date 1/13/18

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