FORM 1023-EZ for ACCLIVITY DANCE AND PERFORMING ARTSACADEMY INC

Field Data
EIN 83-3777476
Case Number EO-2019063-000326
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ACCLIVITY DANCE AND PERFORMING ARTSACADEMY INC
Organization’s Mailing Address 2973 PRICHARD DRIVE
City LEXINGTON
State KY
ZIP 40511
Accounting period End 12
Primary contact name LARRY HUGHLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY HUGHLEY
PRESIDENT
2973 PRICHARD DRIVE
LEXINGTON KY 40511

Officer/Director/Trustee Two

LISA JONES
TREASURER
3008 ELLEN CT
LEXINGTON KY 40511

Officer/Director/Trustee Three

SHAUNTEL BROWN
SECRETARY
3628 SUNDART DRIVE
LEXINGTON KY 40517

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/19
Organization Incorporation State KY
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: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
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 LISA JONES
Signature Title TREASURER
Signature Date 2/28/19

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