FORM 1023-EZ for ARTISTIC SYNERGY OF BALTIMORE

Field Data
EIN 45-4935477
Case Number EO-2015147-000074
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ARTISTIC SYNERGY OF BALTIMORE
Organization’s Mailing Address 8212 PHILADELPHIA ROAD
City ROSEDALE
State MD
ZIP 21237
Accounting period End 12
Primary contact name JOHN CHRZANOWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MELISSA FORTSON
PRESIDENT
1819 WYCLIFFE ROAD
PARKVILLE MD 21234

Officer/Director/Trustee Two

JOHN CHRZANOWSKI
TREASURER
44 LYNDALE AVENUE
NOTTINGHAM MD 21236

Officer/Director/Trustee Three

JEFF BAKER
VICE PRESIDENT
2203 CHAPEL VALLEY LANE
TIMONIUM MD 21093

Officer/Director/Trustee Four

LOU OTERO
SECRETARY
13 NORTHAMPTON ROAD
TIMONIUM MD 21093

Officer/Director/Trustee Five

BOB DEJONG
CHURCH LIAISON
8403 BERKFIELD ROAD
ROSEDALE MD 21237

Organization’s website WWW.ARTISTIC-SYNERGY.COM
Organization’s email JOHN@ARTISTIC-SYNERGY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/2011
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
Organization’s purpose Charitable: Yes
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 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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