FORM 1023-EZ for ACTIVE ARTS CLUB INC

Field Data
EIN 45-0375344
Case Number EO-2019270-000239
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ACTIVE ARTS CLUB INC
Organization’s Mailing Address 322 N 11TH ST APT 4
City OAKES
State ND
ZIP 58474-1402
Accounting period End 12
Primary contact name TONI L PTACEK CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARYELLEN HOMAN
PRESIDENT
1002 LILAC AVE
OAKES ND 58474

Officer/Director/Trustee Two

EMILY PTACEK
VICE PRESIDENT
920 MAIN AVE
OAKES ND 58474

Officer/Director/Trustee Three

JANE ANDERSEN
SECRETARY
9965 HWY 11 SE
OAKES ND 58474

Officer/Director/Trustee Four

PATRICIA MOORE
TREASURER
322 N 11TH ST APT 4
OAKES ND 58474-1402

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/77
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
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 Yes
Correctness Declaration Yes
Signature Name PATRICIA MOORE
Signature Title TREASURER
Signature Date 9/25/19

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