FORM 1023-EZ for LADY JAZZ INSTITUTE

Field Data
EIN 83-0815622
Case Number EO-2018162-000282
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LADY JAZZ INSTITUTE
Organization’s Mailing Address 710 S MYRTLE AVENUE - UNIT 284
City MONROVIA
State CA
ZIP 91016
Accounting period End 12
Primary contact name LAQUETTA SHAMBLEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAQUETTA SHAMBLEE
PRESIDENT
710 S MYRTLE AVENUE - UNIT 284
MONROVIA CA 91016

Officer/Director/Trustee Two

FRANCESCA HARRIS-RHODES
SECRETARY
1516 EL SERENO - APT 1
PASADENA CA 91103

Officer/Director/Trustee Three

STEPHANIE FARRINGTON
TREASURER
5711 COLUMBIA WAY - UNIT 239
LANCASTER CA 93536

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A26 - Arts Council/Agency
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 LAQUETTA SHAMBLEE
Signature Title PRESIDENT
Signature Date 6/7/18

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