FORM 1023-EZ for PUGET SOUNDWORKS

Field Data
EIN 83-1286693
Case Number EO-2018232-000430
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PUGET SOUNDWORKS
Organization’s Mailing Address 3275 37TH AVE SW
City SEATTLE
State WA
ZIP 98126-2214
Accounting period End 6
Primary contact name VANESSA GROSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VANESSA GROSE
EXECUTIVE DIRECTOR
3275 37TH AVE SW
SEATTLE WA 98126-2214

Officer/Director/Trustee Two

JESSICA SOWA
PRESIDENT
22903 76TH AVE W
EDMONDS WA 98026-8403

Officer/Director/Trustee Three

SHANNON RIDDLE
VICE PRESIDENT AND TREASURER
3005 SW 109TH ST
SEATTLE WA 98146-1777

Officer/Director/Trustee Four

MARIA LAMARCA ANDERSON
DIRECTOR
916 10TH AVENUE E UNIT B
SEATTLE WA 98102-4501

Officer/Director/Trustee Five

MATTHEW JOHNSON
DIRECTOR
5050 35TH AVE S
SEATTLE WA 98118-1930

Organization’s website HTTP://PUGETSOUNDWORKS.ORG/
Organization’s email CONTACT@PUGETSOUNDWORKS.ORG
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 A60 - Performing Arts Organizations
Organization’s purpose Charitable: Yes
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 VANESSA GROSE
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/17/18

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