FORM 1023-EZ for IMMERSION YOUTH REPERTORY
| Field | Data |
|---|---|
| EIN | 81-1765653 |
| Case Number | EO-2019029-000583 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | IMMERSION YOUTH REPERTORY |
| Organization’s Mailing Address | 839 5TH AVE SE |
| City | ROCHESTER |
| State | NY |
| ZIP | 55904-7361 |
| Accounting period End | 12 |
| Primary contact name | MISHA JOHNSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
VICKI BLAZING
PRESIDENT OF THE BOARD
4131 COUNTY 21 RD NE
ROCHESTER MN 55906-1818
Officer/Director/Trustee Two
SUZY BLACKHURST
SECRETARY
1431 JUNIPER DR
ESTES PARK CO 80517-7515
Officer/Director/Trustee Three
ALEX FRAZIER
TREASURER
1115 9 1/2 AVE 2
ROCHESTER MN 55904-7361
Officer/Director/Trustee Four
KATHLEEN MURPHY
DIRECTOR
1723 STONE CREST DRIVE NE
ROCHESTER MN 55906-1818
Officer/Director/Trustee Five
MISHA JOHNSON
INCORPORATOR & EXECUTIVE DIRECTOR
839 5TH AVE SE
ROCHESTER MN 55904-7361
| Organization’s website | WWW.IMMERSIONYOUTHREP.COM |
|---|---|
| Organization’s email | IMMERSIONYOUTHREP@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/7/18 |
| Organization Incorporation State | MN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A25 - Arts Education |
| 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 | 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 | MISHA JOHNSON |
| Signature Title | INCORPORATOR & EXECUTIVE DIRECTOR |
| Signature Date | 12/19/18 |
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