FORM 1023-EZ for EMPATHY THROUGH ART

Field Data
EIN 83-4260812
Case Number EO-2020069-000560
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPATHY THROUGH ART
Organization’s Mailing Address 309 E MOREHEAD ST APT 601
City CHARLOTTE
State NC
ZIP 28202-2301
Accounting period End 12
Primary contact name CHARLES ADAIR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES ADAIR
PRESIDENT/DIRECTOR
309 E MOREHEAD ST APT 601
CHARLOTTE NC 28202-2301

Officer/Director/Trustee Two

SARAH ADAIR
TREASURER/DIRECTOR
309 E MOREHEAD ST APT 601
CHARLOTTE NC 28202-2301

Officer/Director/Trustee Three

DANIEL KOLOMEETS-DAROVSKY
SECRETARY/DIRECTOR
1016 MARSHALL FARM ST
WAKE NC 27587-4392

Officer/Director/Trustee Four

NEEL BHUTA
DIRECTOR
30 BROWNSTONE BOULEVARD
VOORHEES NJ 08043-3451

Officer/Director/Trustee Five

THEODORE HERMAN
DIRECTOR
2929 WAVERLY DRIVE APT 301
LOS ANGELES CA 90039-2051

Organization’s website CREATE-EMPATHY.ORG
Organization’s email CHARLES.ADAIR@CREATE-EMPATHY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/2019
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 CHARLES ADAIR
Signature Title PRESIDENT/DIRECTOR
Signature Date 3/6/2020

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