FORM 1023-EZ for SEATTLE MUSICIANS ACCESS TO SUSTAINABLE HEALTHCARE

Field Data
EIN 81-1717061
Case Number EO-2016118-000345
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SEATTLE MUSICIANS ACCESS TO SUSTAINABLE HEALTHCARE
Organization’s Mailing Address 6515 5TH AVENUE NW
City SEATTLE
State WA
ZIP 98117
Accounting period End 12
Primary contact name JACQUELINE RYALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACQUELINE RYALL
DIRECTOR
6515 5TH AVENUE NW
SEATTLE WA 98117

Officer/Director/Trustee Two

IAN MOORE
DIRECTOR
28025 137TH AVENUE SW
VASHON WA 98070

Officer/Director/Trustee Three

JOLEEN MCCAULEY
DIRECTOR
28025 137TH AVENUE SW
VASHON WA 98070

Officer/Director/Trustee Four

ANGILA JAEGGLI
DIRECTOR
19348 35TH AVENUE NE
LAKE FOREST PARK WA 98155

Officer/Director/Trustee Five

STEPHANIE FAIRWEATHER
DIRECTOR
7036 MARY AVENUE NW
SEATTLE WA 98117

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/2015
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 Yes
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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