FORM 1023-EZ for AGELESS ART INC

Field Data
EIN 84-4123548
Case Number EO-2020157-000288
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AGELESS ART INC
Organization’s Mailing Address 11500 207TH AVENUE
City ANAMOSA
State IA
ZIP 52205
Accounting period End 12
Primary contact name KERRI XENE ABRAHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KERRI XENE ABRAHAM
DIRECTOR
11500 207TH AVE
ANAMOSA IA 52205

Officer/Director/Trustee Two

KEN KEMPER
DIRECTOR
4190 FINN ROAD
ANAMOSA IA 52205

Officer/Director/Trustee Three

JACK HAYES
DIRECTOR
611 TEAKWOOD DRIVE NE
CEDAR RAPIDS IA 52402

Officer/Director/Trustee Four

DAVID ODONAGHUE
DIRECTOR
402 3RD STREET NW
MOUNT VERNON IA 52314

Officer/Director/Trustee Five

SAIGE TURNER
DIRECTOR
3020 BEVER AVE SE
CEDAR RAPIDS IA 52403

Organization’s website AGELESSART.NET
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/2020
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 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 KERRI XENE ABRAHAM
Signature Title DIRECTOR
Signature Date 6/3/2020

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