FORM 1023-EZ for ART AND HEALTH AWARENESS FOUNDATION

Field Data
EIN 47-4284495
Case Number EO-2015353-000113
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ART AND HEALTH AWARENESS FOUNDATION
Organization’s Mailing Address 8830 ASHGROVE HOUSE LANE 102
City VIENNA
State VA
ZIP 22182
Accounting period End 12
Primary contact name DEBORAH CHARITY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBORAH CHARITY
EXECUTIVE DIRECTOR/FOUNDER
8830 ASHGROVE HOUSE LANE 102
VIENNA VA 22812

Officer/Director/Trustee Two

STEPHEN CHARITY
TREASURER
8830 ASHGROVE HOUSE LANE 102
VIENNA VA 22812

Officer/Director/Trustee Three

CAROLYN HOWELL
SECRETARY
8830 ASHGROVE HOUSE LANE 102
VIENNA VA 22182

Officer/Director/Trustee Four

KENNETH MCCARTHY
DIRECTOR
8830 ASHGROVE HOUSE LANE 102
VIENNA VA 22182

Officer/Director/Trustee Five

CARRIE YATES
DIRECTOR
8830 ASHGROVE HOUSE LANE 102
VIENNA VA 22182

Organization’s website WWW.ARTANDHEALTHAWARENESS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/2015
Organization Incorporation State VA
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
Signature Title
Signature Date

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