FORM 1023-EZ for GULF COAST DANCE THEATER INC

Field Data
EIN 46-5305274
Case Number EO-2014303-000059
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GULF COAST DANCE THEATER INC
Organization’s Mailing Address 1715 S MISSOURI AVE
City CLEARWATER
State FL
ZIP 33756
Accounting period End 6
Primary contact name JAMES NIBLOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANNE CICHRA
DIRECTOR/PRESIDENT
1715 S MISSOURI AVE
CLEARWATER FL 33756

Officer/Director/Trustee Two

MAVIS RICHARDS
DIRECTOR/TREASURER
8558 KING ST
SEMINOLE FL 33772

Officer/Director/Trustee Three

HOLLY TALARCHYK
DIRECTOR/SECRETARY
104 METEOR
CLEARWATER FL 33764

Officer/Director/Trustee Four

NICOLE STUART
DIRECTOR/VICE PRESIDENT
1715 S MISSOURI AVE
CLEARWATER FL 33756

Officer/Director/Trustee Five

JAMES NIBLOCK
DIRECTOR
8558 KING ST
SEMINOLE FL 33772

Organization’s website GULFCOASTDANCETHEATER.ORG
Organization’s email GULFCOASTDANCECENTER@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A63 - Ballet
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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