FORM 1023-EZ for ARMCHAIR VERTIGO INSTITUTE

Field Data
EIN 83-1490346
Case Number EO-2018225-000502
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARMCHAIR VERTIGO INSTITUTE
Organization’s Mailing Address 5880 GAGE AVE
City CLOVERDALE
State OR
ZIP 97112-9610
Accounting period End 7
Primary contact name DAVID J FROST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID FROST
FOUNDER/PRESIDENT
5880 GAGE AVE
CLOVERDALE OR 97112-9610

Officer/Director/Trustee Two

KELLY RAYNOR
SECRETARY/CFO
5880 GAGE AVE
CLOVERDALE OR 97112-9610

Organization’s website WWW.ARMCHAIRVERTIGO.ORG
Organization’s email STAFF@ARMCHAIRVERTIGO.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A70 - Humanities Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 Yes
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 DAVID FROST
Signature Title FOUNDER/PRESIDENT
Signature Date 8/10/18

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