FORM 1023-EZ for BALLET THEATRE OF WASHINGTON

Field Data
EIN 46-4611152
Case Number EO-2017289-000341
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BALLET THEATRE OF WASHINGTON
Organization’s Mailing Address PO BOX 903
City CENTRALIA
State WA
ZIP 98531
Accounting period End 12
Primary contact name MICK GUNTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THERESA MCMURRY
PRESIDENT
815 W 3RD ST
CENTRALIA WA 98531

Officer/Director/Trustee Two

MELINDA BREIN
BOARD MEMBER
108 ORION PL
CHEHALIS WA 98532

Officer/Director/Trustee Three

MICK GUNTER
BOARD MEMBER
143 ROBERTS RD
CHEHALIS WA 98532

Officer/Director/Trustee Four

JASON KENSER
BOARD MEMBER
1324 HAM HILL RD
CENTRALIA WA 98531

Officer/Director/Trustee Five

SUSANNE SINCOCK
TREASURER
P O BOX
781 CHEHALIS WA 98532

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2014
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 46-4611152
Case Number EO-2015013-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BALLET THEATRE OF WASHINGTON
Organization’s Mailing Address 221 S TOWER ST
City CENTRALIA
State WA
ZIP 98531
Accounting period End 12
Primary contact name MICKEY GUNTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHERINE GULMERT
PRESIDENT
2078 RICE RD
CHEHALIS WA 98532

Officer/Director/Trustee Two

THERESA MCMURRAY
VICE PRESIDENT
815 W 3RD ST
CENTRALIA WA 98531

Officer/Director/Trustee Three

MICKEY GUNTER
TREASURER
1918 MCCORMICK ST NE
OLYMPIA WA 98506

Officer/Director/Trustee Four

FEROL MAX
SECRETARY
8448 173RD AVE SW
ROCHESTER WA 98579

Organization’s website BALLETWASHINGTON.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2014
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: 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
Signature Title
Signature Date

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