FORM 1023-EZ for BELLINGHAM ANIME CONVENTION

Field Data
EIN 81-0782716
Case Number EO-2016231-000238
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BELLINGHAM ANIME CONVENTION
Organization’s Mailing Address 4000 NORTHWEST AVE APT 103
City BELLINGHAM
State WA
ZIP 98226-9010
Accounting period End 12
Primary contact name JARRETT MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JARRETT MARTIN
PRESIDENT
4000 NORTHWEST AVE APT 103
BELLINGHAM WA 98226-9010

Officer/Director/Trustee Two

JENNIFER LOVCHIK
DIRECTOR
3004 DOUGLAS RD
FERNDALE WA 98248-8909

Officer/Director/Trustee Three

DIANNE MARRS-SMITH
SECRETARY
7399 CLAMDIGGER DR
BLAINE WA 98230-9089

Organization’s website WWW.BELLINGHAMANIMECON.COM
Organization’s email BELLINGHAMANIME@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/2015
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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
Signature Title
Signature Date

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