FORM 1023-EZ for SYMBIOSIS ARTS

Field Data
EIN 85-1366395
Case Number EO-2020177-000456
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SYMBIOSIS ARTS
Organization’s Mailing Address 29 W 511 SUNSET RIDGE DR
City BARTLETT
State IL
ZIP 60103
Accounting period End 12
Primary contact name SALLY R WAGENMAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRAEDEN BARNES
PRESIDENT & DIRECTOR
29 W 511 SUNSET RIDGE DR
BARLETT IL 60103

Officer/Director/Trustee Two

MICHELLE MELTZER
SECRETARY & DIRECTOR
4710 N BERNARD ST APT 1W
CHICAGO IL 60625

Officer/Director/Trustee Three

ABIGAIL STACHNIK
TREASURER & DIRECTOR
4036 N ST LOUIS AVE UNIT 2
CHICAGO IL 60618

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
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 Yes
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 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 BRAEDEN BARNES
Signature Title PRESIDENT & DIRECTOR
Signature Date 6/16/2020

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