FORM 1023-EZ for POIEMA CULTURE INC

Field Data
EIN 84-2013885
Case Number EO-2019161-000465
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POIEMA CULTURE INC
Organization’s Mailing Address 12771 W BURNSIDE TRL
City PEORIA
State AZ
ZIP 85383-8063
Accounting period End 6
Primary contact name AMY DUNCAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRITTANY JEFFERY
TREASURER
12771 W BURNSIDE TRL
PEORIA AZ 85383-8063

Officer/Director/Trustee Two

AMY DUNCAN
BOARD CHAIR
6415 W ESCUDA RD
GLENDALE AZ 85308-7070

Officer/Director/Trustee Three

JENNY CLARK
SECRETARY
25826 N 65TH AVE
PHOENIX AZ 85083-1020

Organization’s website WWW.POIEMACULTURE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: No
Religious: Yes
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 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 AMY DUNCAN
Signature Title BOARD CHAIR
Signature Date 6/7/19

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