FORM 1023-EZ for MISTORY DANCE COMPANY

Field Data
EIN 81-1954259
Case Number EO-2020209-000144
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISTORY DANCE COMPANY
Organization’s Mailing Address 8551 AIRPORT RD
City BERKLEY
State MO
ZIP 63134
Accounting period End 12
Primary contact name GEORGIA DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GEORGIA DAVIS
EXECUTIVE DIRECTOR
8551 AIRPORT RD
BERKLEY MO 63134

Officer/Director/Trustee Two

KEITH LEE
PRESIDENT
6038 WASHINGTON AVE
SAINT LOUIS MO 63134

Officer/Director/Trustee Three

ERICA BOYKIN
VICE PRESIDENT
2664 SAN RAFAEL PLACE
SAINT LOUIS MO 63114

Officer/Director/Trustee Four

EBONY SCALES
SECRETARY
931 THATCHER
SAINT LOUIS MO 63135

Officer/Director/Trustee Five

NIK WATSON
FINANCIAL SECRETARY
103 GRANDVIEW DR
SAINT CHARLES MO 63301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2019
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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 GEORGIA DAVIS
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/17/2020

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