FORM 1023-EZ for APPALOOSA BLUE RIDGE ARTS FOUNDATION

Field Data
EIN 81-3393464
Case Number EO-2017037-000277
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name APPALOOSA BLUE RIDGE ARTS FOUNDATION
Organization’s Mailing Address 204 SALEM AVENUE
City FRONT ROYAL
State VA
ZIP 22630
Accounting period End 12
Primary contact name ALEXANDER FEDORYKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXANDER FEDORYKA
DIRECTOR
204 SALEM AVENUE
FRONT ROYAL VA 22630

Officer/Director/Trustee Two

JAMES CLARK
CO-DIRECTOR
2581 SHENANDOAH SHORES RD
FRONT ROYAL VA 22630

Officer/Director/Trustee Three

DANYLO FEDORYKA
MANAGER
122 KERFOOT AVE
FRONT ROYAL VA 22630

Officer/Director/Trustee Four

TERESA FEDORYKA
SECRETARY
1031 MEADOW CT
FRONT ROYAL VA 22630

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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