FORM 1023-EZ for ARCHETYPE PATTERN WORKSHOP
| Field | Data |
|---|---|
| EIN | 86-3001343 |
| Case Number | EO-2021183-000429 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ARCHETYPE PATTERN WORKSHOP |
| Organization’s Mailing Address | 11290 OHIO AVE UNIT 8 |
| City | LOS ANGELES |
| State | CA |
| ZIP | 90025 |
| Accounting period End | 12 |
| Primary contact name | WILLIE D WILLIAMS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
WILLIE D WILLIAMS
PRESIDENT AND DIRECTOR
11290 OHIO AVE UNIT 8
LOS ANGELES CA 90025
Officer/Director/Trustee Two
KINUE KLEINSCHMIDT
TREASURER AND DIRECTOR
641 GRANT ST
SANTA MONICA CA 90405
Officer/Director/Trustee Three
IRENE RAMIREZ
SECRETARY AND DIRECTOR
17416 HIBISCUS ST
FONTANA CA 92335
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/22/2021 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X99 - Religion Related, Spiritual Development N.E.C. |
| Organization’s purpose | Charitable: No Religious: Yes 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 | 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 | WILLIE D WILLIAMS |
| Signature Title | PRESIDENT AND DIRECTOR |
| Signature Date | 6/30/2021 |
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