FORM 1023-EZ for ART EXPERIMENT

Field Data
EIN 83-0844362
Case Number EO-2018242-000082
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ART EXPERIMENT
Organization’s Mailing Address 1708 MARSH RD
City YAKIMA
State WA
ZIP 98901
Accounting period End 12
Primary contact name ARTHUR E CAMPBELL CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIN LAURVICK
PRESIDENT
519 N 16TH AVE
YAKIMA WA 98902

Officer/Director/Trustee Two

LEANN KIRK
TRESURER
1708 MARSH RD
YAKIMA WA 98901

Officer/Director/Trustee Three

JAMIE LONG
SECRETARY
311 BOHOSKEY DR
YAKIMA WA 98901

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
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 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 ERIN LAURVICK
Signature Title PRESIDENT
Signature Date 8/28/18

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