FORM 1023-EZ for INTEGRATED ARTS

Field Data
EIN 47-2571430
Case Number EO-2015294-000159
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INTEGRATED ARTS
Organization’s Mailing Address 30893 BLANTON RD
City EUGENE
State OR
ZIP 97405-9402
Accounting period End 12
Primary contact name JOHN PARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRAD GARNER
PRESIDENT
2750 UNIVERSITY ST UNIT A
EUGENE OR 97403-1647

Officer/Director/Trustee Two

JEREMY SCHROPP
CHAIRMAN
642 CHARNELTON ST APT 4
EUGENE OR 97401-2697

Officer/Director/Trustee Three

JON BELLONA
SECRETARY
14 E HAMPTON ST
STAUNTON VA 24401-4657

Officer/Director/Trustee Four

JOHN PARK
TREASURER
30893 BLANTON RD
EUGENE OR 97405-9402

Organization’s website
Organization’s email INTEGRATEDARTSOREGON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2014
Organization Incorporation State OR
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 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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