FORM 1023-EZ for EASTSIDE ACTORS LAB

Field Data
EIN 83-3755879
Case Number EO-2019060-000452
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EASTSIDE ACTORS LAB
Organization’s Mailing Address 8300 NE 146TH STREET
City KENMORE
State WA
ZIP 98028-4736
Accounting period End 12
Primary contact name TRENT LATTA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRENT LATTA
PRESIDENT/TREASURER
8300 NE 146TH STREET
KENMORE WA 98028

Officer/Director/Trustee Two

KJERSTINE ANDERSON
VICE PRESIDENT
11020 227TH AVENUE SE
MONROE WA 98272

Officer/Director/Trustee Three

TYSON KAUP
SECRETARY
27922 NE TOLT HILL RD
CARNATION WA 98014

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/19
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: No
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 Yes
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 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 TRENT LATTA
Signature Title PRESIDENT/TREASURER
Signature Date 2/27/19

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