FORM 1023-EZ for HAVASU AREA PUBLIC ART

Field Data
EIN 47-4150819
Case Number EO-2015306-000482
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAVASU AREA PUBLIC ART
Organization’s Mailing Address 1642 MCCULLOCH BLVD SUITE 185
City LAKE HAVASU CITY
State AZ
ZIP 86403
Accounting period End 12
Primary contact name BONNIE HUMPHREY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BETTY ROUNDS
CHAIRMAN OF BOARD OF DIR
1642 MCCULLOCH BLVD N 185
LAKE HAVASU CITY AZ 86403

Officer/Director/Trustee Two

RICHARD ROUNDS
DIRECTOR
1642 MCCULLOCH BLVD N 185
LAKE HAVASU CITY AZ 86403

Officer/Director/Trustee Three

JAN KASSIES
DIRECTOR
422 LONDON BRIDGE VILLAGE
LAKE HAVASU CITY AZ 86403

Officer/Director/Trustee Four

BONNIE HUMPHREY
DIRECTOR
1421 OWEN DR
LAKE HAVASU CITY AZ 86404

Officer/Director/Trustee Five

JUDY WHELAN
DIRECTOR
1926 PAPAGO DR
LAKE HAVASU CITY AZ 86403

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2015
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A40 - Visual Arts Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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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