FORM 1023-EZ for MADISON ARTS ALLIANCE INC

Field Data
EIN 46-4138652
Case Number EO-2014256-000145
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MADISON ARTS ALLIANCE INC
Organization’s Mailing Address 416 WEST STREET SUITE B
City MADISON
State IN
ZIP 47250
Accounting period End 12
Primary contact name MARK WYNN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIM NYBERG
EXECUTIVE DIRECTOR
416 WEST STREET SUITE B
MADISON IN 47250

Officer/Director/Trustee Two

KELLY HOAGLAND
DIRECTOR
2751 TIGER LILLY LANE
MADISON IN 47250-1795

Officer/Director/Trustee Three

ERIC PHAGAN
DIRECTOR
8841 N BREEDING ROAD
DUPONT IN 47231-9556

Officer/Director/Trustee Four

LAURA RATCLIFF
DIRECTOR
512 WEST ST
MADISON IN 47250-3304

Officer/Director/Trustee Five

BILL BARNES
DIRECTOR
394 MEADOW LANE
MADISON IN 47250-2536

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2013
Organization Incorporation State IN
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
Signature Title
Signature Date

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