FORM 1023-EZ for PURA VIDA ARTS INTERNATIONAL

Field Data
EIN 83-1071764
Case Number EO-2018207-000164
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PURA VIDA ARTS INTERNATIONAL
Organization’s Mailing Address 506 GREENBRIER COURT -102
City FREDERICKSBURG
State VA
ZIP 22401
Accounting period End 12
Primary contact name ANNA KATYA DELORENZO-BRUE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNA KATYA DELORENZO Y BRUE
DIRECTOR
506 GREENBRIER COURT -102
FREDERICKSBURG VA 22401

Officer/Director/Trustee Two

AMBER ZAIRE WATSON
DIRECTOR
301 EAST 55TH STREET
LONG BEACH CA 90712

Officer/Director/Trustee Three

LYNN ANNE THOMAS
DIRECTOR
8420 OUTBACK ROAD
SPOTSYLVANIA VA 22551

Organization’s website WWW.PURAVIDAARTS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/18
Organization Incorporation State VA
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: 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 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 ANNA KATYA DELORENZO Y BRUE
Signature Title DIRECTOR
Signature Date 7/24/18

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