FORM 1023-EZ for AMERICA DANCAS

Field Data
EIN 81-1228604
Case Number EO-2016028-000280
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMERICA DANCAS
Organization’s Mailing Address 2206 DARTMOUTH DRIVE
City ALEXANDRIA
State VA
ZIP 22307
Accounting period End 12
Primary contact name JEREMY BUTLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TANYA FISKE
PRESIDENT, DIRECTOR
2206 DARTMOUTH DRIVE
ALEXANDRIA VA 22307

Officer/Director/Trustee Two

TRACEY HOLLAND
DIRECTOR
2200 COLONIAL AVENUE STE 4
NORFOLK VA 23517

Officer/Director/Trustee Three

JEREMY BUTLER
DIRECTOR
5500 COLUBIA PIKE APT 709
ARLINGTON VA 22204

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: No
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 Yes
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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