FORM 1023-EZ for ARTS A LOFT

Field Data
EIN 81-2010709
Case Number EO-2017233-000373
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ARTS A LOFT
Organization’s Mailing Address 107 B EAST DAVIS STREET
City CULPEPER
State VA
ZIP 22701
Accounting period End 12
Primary contact name PATRICIA WERICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA WERICK
PRESIDENT
14508 CHESTERFIELD LANE
CULPEPER VA 22701-3417

Officer/Director/Trustee Two

WILLIAM WERICK
VICE PRESIDENT
14508 CHESTERFIELD LANE
CULPEPER VA 22701-3417

Officer/Director/Trustee Three

SAMANTHA WHITESIDES
SECRETARY
50 N WHITE OAK LAKEVIEW DRIVE
MADISON VA 22727-5054

Officer/Director/Trustee Four

MICHAEL LYSCZEK
ARCHITECT
107 B EAST DAVIS STREET
CULPEPER VA 22701-3417

Officer/Director/Trustee Five

LAURA BYNUM
AUTHOR
214 MCCOY AVENUE
CULPEPER VA 22701-3417

Organization’s website WWW.CULPEPERLOFT.COM
Organization’s email CULPEPERLOFT@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2017
Organization Incorporation State VA
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: 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
Signature Title
Signature Date

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