FORM 1023-EZ for PORT GARDNER BAY MUSIC SOCIETY

Field Data
EIN 83-1783730
Case Number EO-2018253-000179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PORT GARDNER BAY MUSIC SOCIETY
Organization’s Mailing Address 417 WOOD PLACE
City EVERETT
State WA
ZIP 98203
Accounting period End 6
Primary contact name LEE MATHEWS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEE MATHEWS
PRESIDENT
417 WOOD PLACE
EVERETT WA 98203

Officer/Director/Trustee Two

JAMES FRY
DIRECTOR
815 124TH ST SW SPC 19
EVERETT WA 98204

Officer/Director/Trustee Three

KAREN MATHEWS
SECRETARY
417 WOOD PLACE
EVERETT WA 98203

Officer/Director/Trustee Four

PEGGY KURTZ
VICE PRESIDENT
1515 GRAND AVENUE
EVERETT WA 98204

Officer/Director/Trustee Five

GARY NORRIS
TREASURER
8316 309TH AVE SE
PRESTON WA 98054

Organization’s website WWW.PGBMUSICSOCIETY.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/18
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: No
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 JAMES FRY
Signature Title DIRECTOR
Signature Date 9/6/18

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