FORM 1023-EZ for LAKE CITY FUSE

Field Data
EIN 47-5433406
Case Number EO-2018247-000392
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE CITY FUSE
Organization’s Mailing Address 3967 RIVEREDGE ROAD
City CLEVELAND
State OH
ZIP 44111
Accounting period End 12
Primary contact name JENNIFER SHAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS FLOWERS
PRESIDENT
8972 WEST RIDGE RD
CLEVELAND OH 44035

Officer/Director/Trustee Two

ANN BORT
VICE PRESIDENT
39200 DETROIT RD
AVON OH 44001

Officer/Director/Trustee Three

TIM CALLAGHAN
SECRETARY
18231 MARCELLA ROAD
CLEVELAND OH 44119

Officer/Director/Trustee Four

STELLA DILIK
TREASURER
3403 SPRUCE COURT
AVON OH 44001

Officer/Director/Trustee Five

JENNIFER SHAW
EXECUTIVE DIRECTOR
3967 RIVEREDGE ROAD
CLEVELAND OH 44111

Organization’s website WWW.UNDERGROUNDCLASSICAL.ORG
Organization’s email UNDERGROUNDCLASSICAL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/15
Organization Incorporation State OH
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: 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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JENNIFER SHAW
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/30/18
EIN 47-5433406
Case Number EO-2016004-000303
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKE CITY FUSE
Organization’s Mailing Address 2940 LEE ROAD
City SHAKER HEIGHTS
State OH
ZIP 44120
Accounting period End 12
Primary contact name JENNIFER SHAW-PHILLIPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER SHAW-PHILLIPS
PRESIDENT, SECRETARY, AND TREASURER
2940 LEE ROAD
SHAKER HEIGHTS OH 44120

Officer/Director/Trustee Two

ANN BORT
DIRECTOR
39200 DETROIT ROAD
AVON OH 44001

Officer/Director/Trustee Three

THOMAS FLOWERS
DIRECTOR
8972 WEST RIDGE ROAD
ELYRIA OH 44035

Officer/Director/Trustee Four

ANDREW FIORELLA
DIRECTOR
31308 MANCHESTER LANE
BAY VILLAGE OH 44140

Officer/Director/Trustee Five

STELLA DILIK
DIRECTOR
3403 SPRUCE COURT
AVON OH 44011

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
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 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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