FORM 1023-EZ for ART FROM SCARS

Field Data
EIN 82-3977121
Case Number EO-2018025-000209
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ART FROM SCARS
Organization’s Mailing Address 600 BRICKSTONE DRIVE
City APEX
State NC
ZIP 27502
Accounting period End 12
Primary contact name PETRINA HAMM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETRINA HAMM
PRESIDENT
600 BRICKSTONE DRIVE
APEX NC 27502

Officer/Director/Trustee Two

SUSAN COPE
TREASURER
106 CARRIAGE HILL DRIVE
STEM NC 27581

Officer/Director/Trustee Three

SHANNON POORE
DIRECTOR
83 DONGOLA STREET
CLAYTON NC 27520

Officer/Director/Trustee Four

JASMINE AFANADOR
DIRECTOR
1008 CREEK HAVEN DRIVE
HOLLY SPRINGS NC 27540

Officer/Director/Trustee Five

MARCELLA MINORINI
DIRECTOR
22655 CHAGRIN BLVD STE 416
BEACHWOOD OH 44122

Organization’s website
Organization’s email PETRINA@ARTFROMSCARS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 PETRINA HAMM
Signature Title PRESIDENT
Signature Date 1/23/18

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