FORM 1023-EZ for TWO AT A TIME

Field Data
EIN 82-4633050
Case Number EO-2018128-001132
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TWO AT A TIME
Organization’s Mailing Address 4701 SW ADMIRAL WAY SUITE 305
City SEATTLE
State WA
ZIP 98116-2340
Accounting period End 12
Primary contact name TOM OWENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORA ABERNATHY
DIRECTOR
3024 59TH AVENUE SW APT 305
SEATTLE WA 98116-4707

Officer/Director/Trustee Two

MONIQUE SZYSZKA-RAMOS
DIRECTOR
16095 CLEVELAND ST APT 208
SEATTLE WA 98052-1549

Officer/Director/Trustee Three

ANDREW MCMASTERS
DIRECTOR
4512 STONE WAY N APT 1
SEATTLE WA 98126

Officer/Director/Trustee Four

TOM OWENS
DIRECTOR
3803 SW MYRTLE ST
SEATTLE WA 98126

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TOM OWENS
Signature Title DIRECTOR
Signature Date 5/4/18

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