FORM 1023-EZ for ART WORK EMPOWERMENT INC

Field Data
EIN 47-2881625
Case Number EO-2015091-000181
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ART WORK EMPOWERMENT INC
Organization’s Mailing Address 501 W SIXTH ST STE 150
City LEXINGTON
State KY
ZIP 40508
Accounting period End 12
Primary contact name THERESA SIMCIC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSHUA NADZAM
PRESIDENT
451 W FOURTH ST APT 1
LEXINGTON KY 40508

Officer/Director/Trustee Two

KATHY WERKING
ART DIRECTOR
2201 LITTLE ROCK JACKSTOWN RD
CARLISLE KY 40311

Officer/Director/Trustee Three

LEE FERRELL
VICE PRESIDENT
525 ANGLIANA AVE APT 6102
LEXINGTON KY 40508

Officer/Director/Trustee Four

THERESA SIMCIC
OUTREACH COORDINATOR
1688 CHANDLER LN
LEXINGTON KY 40504

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/2015
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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
Signature Title
Signature Date

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