FORM 1023-EZ for AMERICAN THEATER NORTHWEST

Field Data
EIN 81-4112349
Case Number EO-2016300-000222
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMERICAN THEATER NORTHWEST
Organization’s Mailing Address 2638 MOORE ST
City BELLINGHAM
State WA
ZIP 98226
Accounting period End 12
Primary contact name EVAN MUELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EVAN MUELLER
ARTISTIC DIRECTOR AND CHAIRMAN
2638 MOORE ST
BELLINGHAM WA 98226

Officer/Director/Trustee Two

SUSAN SCHULD
DIRECTOR AND TREASURER
2610 E SECTION ST UNIT 17
MT. VERNON WA 98274

Officer/Director/Trustee Three

BRIE MUELLER
DIRECTOR AND SECRETARY
2638 MOORE ST
BELLINGHAM WA 98226

Organization’s website WWW.AMERICANTHEATERNORTHWEST.ORG
Organization’s email AMERICANTHEATERNORTHWEST@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A65 - Theater
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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