FORM 1023-EZ for MINDFUL ARTS PROJECT

Field Data
EIN 83-1260515
Case Number EO-2018325-000141
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MINDFUL ARTS PROJECT
Organization’s Mailing Address 22910 90TH AVE W D208
City EDMONDS
State WA
ZIP 98026
Accounting period End 12
Primary contact name TIM SWEDBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIM SWEDBERG
DIRECTOR
22910 90TH AVE W D208
EDMONDS WA 98026-9400

Officer/Director/Trustee Two

LORI DERRICK
PRESIDENT
1097 26TH ST
VERO BEACH FL 32960-5092

Officer/Director/Trustee Three

ALLISON LORD
SECRETARY
12515 2ND AVE NE
SEATTLE WA 98125-4703

Officer/Director/Trustee Four

DAWN DUNCAN
TREASURER
6824 36TH AVE NE
SEATTLE WA 98115-7430

Organization’s website WWW.MINDFULARTSPROJECT.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities N.E.C.
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 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 TIM SWEDBERG
Signature Title DIRECTOR
Signature Date 11/19/18

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