FORM 1023-EZ for AMPLIFY MEDIA AND ARTS CORPORATION

Field Data
EIN 86-2975724
Case Number EO-2021260-000298
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMPLIFY MEDIA AND ARTS CORPORATION
Organization’s Mailing Address 5585 RUSTLINGWAY LANE
City GALLOWAY
State OH
ZIP 43119
Accounting period End 12
Primary contact name RICHARD B DALTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD DALTON
DIRECTOR OF FINANCE
5585 RUSTLINGWAY LANE
GALLOWAY OH 43119

Officer/Director/Trustee Two

DAWN DALTON
CHIEF EXECUTIVE
5585 RUSTLINGWAY LANE
GALLOWAY OH 43119

Officer/Director/Trustee Three

LAUREN WHITAKER
DIRECTOR OF OPERATIONS
5585 RUSTLINGWAY LANE
GALLOWAY OH 43119

Organization’s website GRACELIGHTPRODUCTIONS.COM
Organization’s email GRACELIGHTPRODUCTIONS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2021
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 RICHARD DALTON
Signature Title DIRECTOR OF FINANCE
Signature Date 9/15/2021

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