FORM 1023-EZ for SHDA

Field Data
EIN 47-4637665
Case Number EO-2016216-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHDA
Organization’s Mailing Address 658 WILDERNESS PEAK DRIVE NW
City ISSAQUAH
State WA
ZIP 98027-5620
Accounting period End 7
Primary contact name LYNDA ITOI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNDA ITOI
PRESIDENT
625 141ST COURT SE E205
BELLEVUE WA 98007-6755

Officer/Director/Trustee Two

MICHELLE DOERSCHER
VICE-PRESIDENT
10011 21ST AVE W
EVERETT WA 98204-3665

Officer/Director/Trustee Three

EVELYN HALL
SECRETARY
21983 21ST PLACE W
BRIER WA 98036-8189

Officer/Director/Trustee Four

KATHRYN HALL
TREASURER
12218 VASHON HIGHWAY SW
VASHON WA 98070-3345

Officer/Director/Trustee Five

JACQUELINE OCHS
REGISTRAR
658 WILDERNESS PEAK DRIVE NW
ISSAQUAH WA 98027-5620

Organization’s website SEATTLEHIGHLAND.BLOGSPOT.COM
Organization’s email SHDAWEB@LIVE.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2015
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
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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