FORM 1023-EZ for SEQUESTERED ART SPACE INC

Field Data
EIN 83-1806162
Case Number EO-2018280-000001
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SEQUESTERED ART SPACE INC
Organization’s Mailing Address 6119 OUTPOST RD
City SYLVANIA
State OH
ZIP 43560
Accounting period End 12
Primary contact name KELLY AVERILL SAVINO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TONI LAVALLEY
STATUTORY AGENT/PRESIDENT
6119 OUTPOST RD
SYLVANIA OH 43560

Officer/Director/Trustee Two

KELLY AVERILL SAVINO
SECRETARY
5714 DENNISON RD
TOLEDO OH 43615

Officer/Director/Trustee Three

MARILYN LEVINE
VICE PRESIDENT
4709 WOODLAND LANE
SYLVANIA OH 43560

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/18
Organization Incorporation State OH
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: 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 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 TONI LAVALLEY
Signature Title STATUTORY AGENT/PRESIDENT
Signature Date 10/3/18

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