FORM 1023-EZ for ARTISTIC REMEDIES FOR CREATIVE HEARTS

Field Data
EIN 87-1154908
Case Number EO-2021196-000146
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARTISTIC REMEDIES FOR CREATIVE HEARTS
Organization’s Mailing Address 8767 SEMINOLE TRAIL SUITE 101
City RUCKERSVILLE
State VA
ZIP 22968
Accounting period End 12
Primary contact name ROSE GUTERBOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLEY VAN DILLA
PRESIDENT & DIRECTOR
1309 ST GEORGE STREET
CROZET VA 22932

Officer/Director/Trustee Two

CRYSTAL MYERS
TREASURER & DIRECTOR
753 GERANIUM ROAD
RUCKERSVILLE VA 22968

Officer/Director/Trustee Three

ROSE GUTERBOCK
SECRETARY & DIRECTOR
5660 MYRTLE STREET
CROZET VA 22932

Officer/Director/Trustee Four

PIPER GROVES
DIRECTOR
24 OAK AVENUE
STAUNTON VA 24401

Officer/Director/Trustee Five

PAUL JONES
DIRECTOR
424 KIRBY AVENUE
WAYNESBORO VA 22980

Organization’s website WWW.ARTISTICREMEDIES.ORG
Organization’s email INFO@ARTISTICREMEDIES.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2021
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention 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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 KELLEY VAN DILLA
Signature Title PRESIDENT & DIRECTOR
Signature Date 7/13/2021

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