FORM 1023-EZ for WELLSPRING ENSEMBLE

Field Data
EIN 83-0648877
Case Number EO-2018169-000325
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WELLSPRING ENSEMBLE
Organization’s Mailing Address 7104 WOODLAWN AVENUE NE/S104
City SEATTLE
State WA
ZIP 98115-1415
Accounting period End 6
Primary contact name KATHERINE SCHUBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PENNY LEFAVOUR
PRESIDENT
2929 168TH ST SE
BOTHELL WA 98012-6632

Officer/Director/Trustee Two

RACHELLE BUNCH
VICE-PRESIDENT
1501 NW 56TH ST/APT 338
SEATTLE WA 98107-5286

Officer/Director/Trustee Three

CHRISTIAN VILLAFUERTE
TREASURER
1501 NW 56TH ST/APT 338
SEATTLE WA 98107-5286

Officer/Director/Trustee Four

KATHERINE SCHUBERT
SECRETARY
7104 WOODLAWN AVE NE/S104
SEATTLE WA 98115-1415

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
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 PENNY LEFAVOUR
Signature Title PRESIDENT
Signature Date 6/13/18

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