FORM 1023-EZ for INSTABALLET

Field Data
EIN 47-2907206
Case Number EO-2016172-000218
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INSTABALLET
Organization’s Mailing Address 1601 OLIVE ST APT 1108
City EUGENE
State OR
ZIP 97401
Accounting period End 6
Primary contact name SUZANNE HAAG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SUZANNE HAAG
PRESIDENT
1601 OLIVE ST APT 1108
EUGENE OR 97401

Officer/Director/Trustee Two

ANTONIO ANACAN
VICE PRESIDENT
1601 OLIVE ST APT 1108
EUGENE OR 97401

Officer/Director/Trustee Three

VICTORIA HARVEY
SECRETARY
1601 OLIVE ST APT 812
EUGENE OR 97401

Officer/Director/Trustee Four

LAWRENCE CRAIG
BOARD MEMBER
541 E 31ST AVE
EUGENE OR 97405

Officer/Director/Trustee Five

MIRANDA ATKINSON
BOARD MEMBER
1191 W BROADWAY
EUGENE OR 97402

Organization’s website WWW.INSTABALLET.ORG
Organization’s email INSTABALLET@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2014
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts 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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