FORM 1023-EZ for THE BLOT COLLECTIVE

Field Data
EIN 81-2163146
Case Number EO-2016187-000124
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE BLOT COLLECTIVE
Organization’s Mailing Address 900 E 14TH ST APT 311
City SIOUX FALLS
State SD
ZIP 57104
Accounting period End 12
Primary contact name NICOLE ALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE ALLEN
OFFICER
900 E 14TH ST APT 311
SIOUX FALLS SD 57104

Officer/Director/Trustee Two

SION LIDSTER
OFFICER
1017 S 6TH AVE
SIOUX FALLS SD 57105

Officer/Director/Trustee Three

JAMIE LIDSTER
OFFICER
1017 S 6TH AVE
SIOUX FALLS SD 57105

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2016
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 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
Signature Title
Signature Date

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