FORM 1023-EZ for THEATRE9-12 ACTOR DEVELOPMENT

Field Data
EIN 83-2613805
Case Number EO-2018330-000126
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THEATRE9-12 ACTOR DEVELOPMENT
Organization’s Mailing Address 1420 TERRY AVENUE
City SEATTLE
State WA
ZIP 98101
Accounting period End 12
Primary contact name CHARLES WAXBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL OCONNELL
BOARD CHAIR
2201 NW 85TH STREET
SEATTLE WA 98117

Officer/Director/Trustee Two

TERRY MOORE
VICE CHAIR
4610 NE 89TH STREET
SEATTLE WA 98115

Officer/Director/Trustee Three

MICHAEL LOSASSO
SECRETARY
4267 WOODLAND PARK AVE N
SEATTLE WA 98103

Officer/Director/Trustee Four

RUTH MCREE
MEMBER
14021 15TH AVE NE APT 401N
SEATTLE WA 98125

Officer/Director/Trustee Five

CHARLES WAXBERG
ARTISTIC DIRECTOR
1420 TERRY AVE UNIT 1903
SEATTLE WA 98101

Organization’s website WWW.THEATRE912.COM
Organization’s email CHARLES@THEATRE912.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/08
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6E - Performing Arts Schools
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHARLES WAXBERG
Signature Title ARTISTIC DIRECTOR
Signature Date 11/24/18

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