FORM 1023-EZ for MIDDLE TENNESSEE YOUTH BALLET

Field Data
EIN 81-3007243
Case Number EO-2016187-000243
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIDDLE TENNESSEE YOUTH BALLET
Organization’s Mailing Address 137 EDENWAY DRIVE
City WHITE HOUSE
State TN
ZIP 37188
Accounting period End 6
Primary contact name TIFFANY PAYTON BAGBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIFFANY BAGBY
PRESIDENT
201 APACHE TRAIL
WHITE HOUSE TN 37188

Officer/Director/Trustee Two

ALTON PAYTON
VICE PRESIDENT
135 PARKS RD
SHARPSBURG GA 30277

Officer/Director/Trustee Three

KAITLIN SPINK
SECRETARY
242 DUSTY LANE
COTTONTOWN TN 37048

Officer/Director/Trustee Four

JILL PAYTON
TREASURER
135 PARKS RD
SHARPSBURG GA 30277

Organization’s website
Organization’s email DANCESOUTH140@BELLSOUTH.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A63 - Ballet
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 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
Signature Title
Signature Date

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