FORM 1023-EZ for EXPERIENCE LIVE ART

Field Data
EIN 82-1377601
Case Number EO-2017310-000302
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EXPERIENCE LIVE ART
Organization’s Mailing Address 237 LUCE ST
City GRAND RAPIDS
State MI
ZIP 49534
Accounting period End 12
Primary contact name STEVE TIBBE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVE TIBBE
DIRECTOR
237 LUCE STREET SOUTHWEST
GRAND RAPIDS MI 49534

Officer/Director/Trustee Two

KEVIN HUVER
DIRECTOR
129 LAFAYETTE AVE NE 5
GRAND RAPIDS MI 49503

Officer/Director/Trustee Three

JOE PETTALIA
DIRECTOR
2445 IRENE ST SE
GRAND RAPIDS MI 49546

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/2017
Organization Incorporation State MI
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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
Signature Title
Signature Date

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