FORM 1023-EZ for SOUWESTER ARTIST RESIDENCY

Field Data
EIN 82-1077038
Case Number EO-2017097-000342
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUWESTER ARTIST RESIDENCY
Organization’s Mailing Address PO BOX 102
City SEAVIEW
State WA
ZIP 98644
Accounting period End 12
Primary contact name THANDI ROSENBAUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THANDI ROSENBAUM
PRESIDENT
216 LAKE STREET
ILWACO WA 98644

Officer/Director/Trustee Two

KATHY DUFFY
SECRETARY
3354 SE 20TH AVENUE
LINCOLN CITY OR 97367

Officer/Director/Trustee Three

DAWN STETZEL
TREASURER
5358 NE LOGAN ROAD
LINCOLN CITY OR 97367

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/2017
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
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 Yes
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
Signature Title
Signature Date

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