FORM 1023-EZ for LTAC ARTS

Field Data
EIN 47-3767424
Case Number EO-2015138-000121
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LTAC ARTS
Organization’s Mailing Address 7041 RIVERWOOD LANE SE
City GRAND RAPIDS
State MI
ZIP 49546
Accounting period End 12
Primary contact name MARY ANN SABO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARY ANN SABO
PRESIDENT + DIRECTOR
7041 RIVERWOOD LANE SE
GRAND RAPIDS MI 49546

Officer/Director/Trustee Two

ERIN NEMASTIL
SECRETARY
7041 RIVERWOOD LANE SE
GRAND RAPIDS MI 49546

Officer/Director/Trustee Three

JOCELYN DETLOFF
TREASURER
235 WEALTHY STREET SE
GRAND RAPIDS MI 49503

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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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