FORM 1023-EZ for SPA CITY INK FOUNDATION

Field Data
EIN 83-4713325
Case Number EO-2019134-000043
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPA CITY INK FOUNDATION
Organization’s Mailing Address PO BOX 20074
City HOT SPRINGS
State AR
ZIP 71903
Accounting period End 12
Primary contact name RYAN BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN BROWN
PRESIDENT
PO BOX 20074
HOT SPRINGS AR 71903

Officer/Director/Trustee Two

EDWARD RICHARDSON
VICE PRESIDENT
101 SERENDIPITY COVE
HOT SPRINGS AR 71913

Officer/Director/Trustee Three

NICHOLE BROWN
TREASURER/SECRETARY
PO BOX 20074
HOT SPRINGS AR 71903

Officer/Director/Trustee Four

JOCELYN BROWN
DIRECTOR
PO BOX 20074
HOT SPRINGS AR 71903

Officer/Director/Trustee Five

JUDY WYNN
BOARD MEMBER
4047 PARK AVE
HOT SPRINGS AR 71901

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/19
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 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 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 RYAN BROWN
Signature Title PRESIDENT
Signature Date 5/10/19

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