FORM 1023-EZ for EXCEPTIONAL ENSEMBELL

Field Data
EIN 84-4646115
Case Number EO-2020043-000295
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EXCEPTIONAL ENSEMBELL
Organization’s Mailing Address 13019 COASTAL CIRCLE
City WEST PALM BEACH
State FL
ZIP 33410-1344
Accounting period End 12
Primary contact name DONNA MAHEADY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNA MAHEADY
PRESIDENT
13019 COASTAL CIR
WEST PALM BEACH FL 33410-1344

Officer/Director/Trustee Two

THOMAS GILI
VICE PRESIDENT
13019 COASTAL CIR
WEST PALM BEACH FL 33410-1344

Officer/Director/Trustee Three

JACQUELINE KINGSTON
DIRECTOR
15305 92 WAY NORTH
JUPITER FL 33478-6971

Organization’s website HTTPS://WWW.EXCEPTIONALENSEMBELL.ORG/
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2018
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DONNA MAHEADY
Signature Title PRESIDENT
Signature Date 2/10/2020

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