FORM 1023-EZ for ROOSEVELT CHOIRS BOOSTER CLUB

Field Data
EIN 84-3563699
Case Number EO-2019346-000150
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROOSEVELT CHOIRS BOOSTER CLUB
Organization’s Mailing Address 8020 41ST AVE NE
City SEATTLE
State WA
ZIP 98115-4935
Accounting period End 10
Primary contact name KATHLEEN ELSENBOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHLEEN ELSENBOSS
PRESIDENT
8020 41ST AVE NE
SEATTLE WA 98115-4935

Officer/Director/Trustee Two

SUSAN MURDOCH
TREASURER
4721 45TH AVE NE
SEATTLE WA 98105-3921

Officer/Director/Trustee Three

JAN OCONNELL
SECRETARY
4021 NE 56TH ST
SEATTLE WA 98105-2234

Officer/Director/Trustee Four

RICK DAUBERT
FUNDRAISING CHAIR
16914 32ND PL NE
LAKE FOREST PARK WA 98155-5331

Organization’s website
Organization’s email RIDERCHOIRS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/2019
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - Single Organization Support
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 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 KATHLEEN ELSENBOSS
Signature Title PRESIDENT
Signature Date 12/9/2019

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