FORM 1023-EZ for CTBUH SEATTLE

Field Data
EIN 83-1506360
Case Number EO-2018229-000414
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CTBUH SEATTLE
Organization’s Mailing Address 1420 5TH AVENUE STE 4200
City SEATTLE
State WA
ZIP 98101-2375
Accounting period End 12
Primary contact name CAREY GOETZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONALD DAVIES
CHAIR/DIRECTOR
1301 FIFTH AVE STE 3200
SEATTLE WA 98101-2614

Officer/Director/Trustee Two

ROGER HEERINGA
TREASURER/DIRECTOR
818 STEWART STREET STE 1000
SEATTLE WA 98101-1479

Officer/Director/Trustee Three

SEAN CANADY
SECRETARY/DIRECTOR
1301 FIRST AVENUE STE 301
SEATTLE WA 98101-2171

Officer/Director/Trustee Four

TODD ENOKI
PROGRAM CHAIR/DIRECTOR
1420 FIFTH AVENUE STE 2400
SEATTLE WA 98101-1345

Officer/Director/Trustee Five

JOEY PIOTROWSKI
FUTURE LEADERS CHAIR/DIRECTOR
1301 FIFTH AVENUE STE 3200
SEATTLE WA 98101-2614

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROGER HEERINGA
Signature Title TREASURER/DIRECTOR
Signature Date 8/15/18

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