FORM 1023-EZ for 98520 MUSIC AND ARTS DISTRICT INITIATIVE

Field Data
EIN 82-2182864
Case Number EO-2017222-000570
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 98520 MUSIC AND ARTS DISTRICT INITIATIVE
Organization’s Mailing Address 1017 S BOONE ST STE 68
City ABERDEEN
State WA
ZIP 98520
Accounting period End 9
Primary contact name JR LAKEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JR LAKEY
CHIEF EXECUTIVE OFFICER
318 W BROADWAY AVE
MONTESANO WA 98563

Officer/Director/Trustee Two

KELLY DURHAM
CHIEF OPERATIONS OFFICER
621 7TH ST APT 30
HOQUIAM WA 98550

Organization’s website 98520MUSICANDARTS.ORG
Organization’s email 98520ROCKS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2017
Organization Incorporation State WA
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 No
Conducting Activities Outside of United States No
Financial transactions with officers No
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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