FORM 1023-EZ for AIR ARTIST IN RESIDENCE

Field Data
EIN 47-4604213
Case Number EO-2015230-000179
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AIR ARTIST IN RESIDENCE
Organization’s Mailing Address 1829 TAFT ST
City HOLLYWOOD
State FL
ZIP 33020
Accounting period End 12
Primary contact name TAMIKA RICHARDSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TAMIKA RICHARDSON
CEO, MANAGING MBR
1829 TAFT ST
HOLLYWOOD FL 33020

Officer/Director/Trustee Two

CYNTHIA HILL
CMO, MBR
244 79TH ST APT 4D
MIAMI BEACH FL 33141

Officer/Director/Trustee Three

CARTEZ RHODES
CIO, ART DIRECTOR, MBR
300 PEACHTREE ST NE
ATLANTA GA 30308

Officer/Director/Trustee Four

MAWUSI WATSON
CFO, MBR
440 NW 214TH ST
MIAMI FL 33169

Officer/Director/Trustee Five

PATRICIA REEVES-MOORE
MBR
409 B AVE
WEST COLUMBIA SC 29169

Organization’s website HTTP://WWW.AIRARTISTINRESIDENCE.ORG
Organization’s email AIRHOLLYWOODFL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
Conducting Activities Outside of United States Yes
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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