FORM 1023-EZ for KIM STICKA PTSD MUSIC AND ARTS FOUNDATION
| Field | Data |
|---|---|
| EIN | 82-0694751 |
| Case Number | EO-2017096-000286 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | KIM STICKA PTSD MUSIC AND ARTS FOUNDATION |
| Organization’s Mailing Address | PO BOX 10990 |
| City | EUGENE |
| State | OR |
| ZIP | 97440 |
| Accounting period End | 12 |
| Primary contact name | DAVID E ATKIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
RONALD R STICKA
PRESIDENT
5050 SAXON WAY
EUGENE OR 97405
Officer/Director/Trustee Two
ELLEN L SWETS
TREASURER
PO BOX 999
VENETA OR 97405
Officer/Director/Trustee Three
SUSAN STICKA
SECRETARY
5050 SAXON WAY
EUGENE OR 97405
Officer/Director/Trustee Four
SIDNEY VOORHEES
DIRECTOR
33763 DILLARD ROAD
EUGENE OR 97405
Officer/Director/Trustee Five
MARK GISSINGER
DIRECTOR
2973 EDGEWATER
EUGENE OR 97401
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/8/2017 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | H48 - Brain Disorders Research |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes 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 | Yes |
| 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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