FORM 1023-EZ for YOUTH ARTS UNLOCKED

Field Data
EIN 83-0933133
Case Number EO-2018289-000177
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YOUTH ARTS UNLOCKED
Organization’s Mailing Address 8048 MILLER RD SUITE D
City SWARTZ CREEK
State MI
ZIP 48473
Accounting period End 9
Primary contact name SHELLEY R SPIVACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHELLEY SPIVACK
CHIEF EXECUTIVE OFFICER
8048 MILLER RD
SWARTZ CREEK MI 48473

Officer/Director/Trustee Two

COLETTE LEGAULT-FIELDS
CHIEF FINANCIAL OFFICER
8048 MILLER RD
SWARTZ CREEK MI 48473

Officer/Director/Trustee Three

BELLA KRITZ
BOARD CHAIRPERSON
8048 MILLER RD
SWARTZ CREEK MI 48473

Officer/Director/Trustee Four

DORA KING
BOARD VICE CHAIR
8048 MILLER RD
SWARTZ CREEK MI 48473

Officer/Director/Trustee Five

JUSTIN SCANLON
BOARD TREASURER
8048 MILLER RD
SWARTZ CREEK MI 48473

Organization’s website N/A
Organization’s email YOUTHARTS.UNLOCKED@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I21 - Delinquency Prevention
Organization’s purpose Charitable: No
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 Yes
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 SHELLEY SPIVACK
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 10/14/18

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