FORM 1023-EZ for DOROTHYS LITTLE BLACK BOX

Field Data
EIN 82-3294291
Case Number EO-2017310-000263
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DOROTHYS LITTLE BLACK BOX
Organization’s Mailing Address 6002 5TH AVE NW
City SEATTLE
State WA
ZIP 98107-2119
Accounting period End 12
Primary contact name JOHN LEHRACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN LEHRACK
PRESIDENT
6002 5TH AVE NW
SEATTLE WA 98107-2119

Officer/Director/Trustee Two

DARREN HOCHSTEDLER
TREASURER
12025 56TH PL S
SEATTLE WA 98178

Officer/Director/Trustee Three

VALERIE VESTAL-REINKING
SECRETARY
111400 NE 132ND ST APT N108
KIRKLAND WA 98034

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/2017
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
Organization’s purpose Charitable: No
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 No
One Third Support Gifts Yes
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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