FORM 1023-EZ for DUBLIN IRISH MUSIC ACADEMY

Field Data
EIN 83-0988165
Case Number EO-2019157-000246
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DUBLIN IRISH MUSIC ACADEMY
Organization’s Mailing Address 6504 BAFFIN DRIVE
City DUBLIN
State OH
ZIP 43017
Accounting period End 12
Primary contact name THOMAS MUNHALL CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK HIGGINS
OFFICER
3196 ROCK FENCE
COLUMBUS OH 43221

Officer/Director/Trustee Two

THERESA HAGEN BULLOCK
OFFICER
5745 BALLANTRAE CIRCLE
COLUMBUS OH 43016

Officer/Director/Trustee Three

SANDRA PUSCARCIK
DIRECTOR
7127 COVENTRY WOODS DRIVE
DUBLIN OH 43016

Officer/Director/Trustee Four

PATRICIA STOREY
DIRECTOR
6244 MUIRLOCH DRIVE
DUBLIN OH 43017

Officer/Director/Trustee Five

MICHAEL BRODERICK
DIRECTOR
6504 BAFFIN DRIVE
DUBLIN OH 43017

Organization’s website DUBLINIRISHMUSICACADEMY.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/18
Organization Incorporation State OH
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: 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 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 THERESA HAGEN BULLOCK
Signature Title OFFICER
Signature Date 6/4/19

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