FORM 1023-EZ for COALITION FOR TATTOO SAFETY

Field Data
EIN 84-2632911
Case Number EO-2019329-000229
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COALITION FOR TATTOO SAFETY
Organization’s Mailing Address 2915 LAKE EAST DR
City LAS VEGAS
State NV
ZIP 89117
Accounting period End 12
Primary contact name JASON PAYAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIO BARTH
PRESIDENT
7445 DEAN MARTIN DR 107
LAS VEGAS NV 89139

Officer/Director/Trustee Two

TERRY WELKER
SECRETARY
7987 LOCHLIN DR
BRIGHTON MI 48116

Officer/Director/Trustee Three

THOMAS RINGWALT
TREASURER
34 EGYPT RD UNIT A
SOMERS CT 6071

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/19
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A01 - Alliance/Advocacy Organizations
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 MARIO BARTH
Signature Title PRESIDENT
Signature Date 11/21/19

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