FORM 1023-EZ for THE PAINTED CHAIR PROJECT - AMYS GIFT

Field Data
EIN 85-0750009
Case Number EO-2020139-000475
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE PAINTED CHAIR PROJECT - AMYS GIFT
Organization’s Mailing Address 3466 N ACE LANE
City LEHI
State UT
ZIP 84043
Accounting period End 12
Primary contact name JAN MCCONNELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAN MCCONNELL
DIRECTOR
3466 N ACE LANE
LEHI UT 84043

Officer/Director/Trustee Two

TAMI BROWN
DIRECTOR
2929 TASKER LANE
SALINA KS 67401

Officer/Director/Trustee Three

KORY BOSTWICK
DIRECTOR
400 NEW CENTURY PKWY
NEW CENTURY KS 66031

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/2020
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 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 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 JAN MCCONNELL
Signature Title DIRECTOR
Signature Date 5/15/2020

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