FORM 1023-EZ for AMERICAN BALLERINA FOUNDATION

Field Data
EIN 43-2112316
Case Number EO-2015040-000284
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMERICAN BALLERINA FOUNDATION
Organization’s Mailing Address 1825 PONCE DE LEON BOULEVARD 366
City CORAL GABLES
State FL
ZIP 33134
Accounting period End 5
Primary contact name ALICE ALYSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALICE ALYSE
PRESIDENT
1825 PONCE DE LEON BOULEVARD 366
CORAL GABLES FL 33134

Officer/Director/Trustee Two

LARRY KLAYMAN
SECRETARY
1825 PONCE DE LEON BOULEVARD 366
CORAL GABLES FL 33134

Officer/Director/Trustee Three

MORYNS LEWITZKE
TREASURER
1825 PONCE DE LEON BOULEVARD 366
CORAL GABLES FL 33134

Officer/Director/Trustee Four

RICHARD MCDONOUGH
DIRECTOR
1825 PONCE DE LEON BOULEVARD 366
CORAL GABLES FL 33134

Organization’s website WWW.AMERICANBALLERINA.ORG
Organization’s email AMERICANBALLERINA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/2006
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A90 - Arts Service Organizations and Activities
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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