FORM 1023-EZ for THE WITHERS ACADEMY OF MUSIC AND ENTERTAINMENT CORPORATION

Field Data
EIN 82-1580534
Case Number EO-2017158-000264
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE WITHERS ACADEMY OF MUSIC AND ENTERTAINMENT CORPORATION
Organization’s Mailing Address 3801 BILLTOWN RD UNIT 99602
City JEFFERSONTOWN
State KY
ZIP 40269
Accounting period End 12
Primary contact name KATHY BRENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DR DANIEL WITHERS
DIRECTOR
3801 BILLTOWN RD UNIT 99602
LOUISVILLE KY 40269

Officer/Director/Trustee Two

ALMA JEAN PITTMAN
DIRECTOR
3801 BILLTOWN RD UNIT 99602
LOUISVILLE KY 40269

Officer/Director/Trustee Three

MARCUS WITHERS
DIRECTOR
3801 BILLTOWN RD UNIT 99602
LOUISVILLE KY 40269

Officer/Director/Trustee Four

MISTY WITHERS
DIRECTOR
3801 BILLTOWN RD UNIT 99602
LOUISVILLE KY 40269

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2017
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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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