FORM 1023-EZ for DISABLED ARTISTS FOUNDATION INC

Field Data
EIN 82-3893192
Case Number EO-2018022-000368
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DISABLED ARTISTS FOUNDATION INC
Organization’s Mailing Address 16970 SAN CARLOS BLVD 160-106
City FT. MYERS
State FL
ZIP 33908
Accounting period End 12
Primary contact name CAROLYN HART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLYN HART
CHAIRMAN OF THE BOARD
16970 SAN CARLOS BLVD 160-106
FT. MYERS FL 33908

Officer/Director/Trustee Two

SERGIO VALLADOLID
VICE-CHAIRMAN OF THE BOARD
16970 SAN CARLOS BLVD 160-106
FT. MYERS FL 33908

Officer/Director/Trustee Three

GRETCHEN CROUTCH
CHIEF OPERATIONS OFFICER
16970 SAN CARLOS BLVD 160-106
FT. MYERS FL 33908

Organization’s website HTTP://WWW.DISABLEDARTISTS.ORG
Organization’s email HELP@DISABLEDARTISTS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 CAROLYN HART
Signature Title CHAIRMAN OF THE BOARD
Signature Date 1/20/18

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