FORM 1023-EZ for VILLAGE ART

Field Data
EIN 86-2920374
Case Number EO-2021099-000683
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VILLAGE ART
Organization’s Mailing Address 889 MINT MEADOW WAY
City SPRINGFIELD
State OR
ZIP 97477
Accounting period End 12
Primary contact name HOLLIE FORSMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOLLIE FORSMAN
MANAGING MEMBER
889 MINT MEADOW WAY
SPRINGFIELD OR 97477

Officer/Director/Trustee Two

CHRISTOPHER FORSMAN
MEMBER
889 MINT MEADOW WAY
SPRINGFIELD OR 97477

Officer/Director/Trustee Three

DONNA WILSON
MEMBER
1861 YENTA AVE
SPRINGFIELD OR 97477

Officer/Director/Trustee Four

KIM REXIUS
MEMBER
2181 MEADOWOOD DRIVE
EUGENE OR 97408

Organization’s website N/A
Organization’s email HOLLIEFORSMAN@OUTLOOK.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/2021
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities N.E.C.
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HOLLIE FORSMAN
Signature Title MANAGING MEMBER
Signature Date 3/29/2021

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