FORM 1023-EZ for BLACK DIAMOND ARTS ALLIANCE

Field Data
EIN 81-0937912
Case Number EO-2016004-000170
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLACK DIAMOND ARTS ALLIANCE
Organization’s Mailing Address 24717 MASON ST
City BLACK DIAMOND
State WA
ZIP 98010
Accounting period End 12
Primary contact name PATRICIA MOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATRICIA MOSS
PRESIDENT
24717 MASON ST
BLACK DIAMOND WA 98010

Officer/Director/Trustee Two

STEVEN ISRAEL
TREASURE
PO BOX 22
BLACK DIAMOND WA 98010

Officer/Director/Trustee Three

LISA LEONARD
SECRETARY
32721 5TH AVE APT 1
BLACK DIAMOND WA 98010

Organization’s website
Organization’s email EINSTEINSART@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/2015
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A90 - Arts Service Organizations and Activities
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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