FORM 1023-EZ for BLAZE DANCE ACADEMY

Field Data
EIN 82-4651981
Case Number EO-2019148-000372
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLAZE DANCE ACADEMY
Organization’s Mailing Address 108 CRYSTAL LAKE DRIVE
City EGG HARBOR TWP
State NJ
ZIP 8401
Accounting period End 12
Primary contact name SHERRI L HICKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERRI HICKS
PRESIDENT
108 Crystal Lake Drive
EGG HARBOR TWP. NJ

Officer/Director/Trustee Two

YASMIN HICKS
VICE-PRESIDENT
108 CRYSTAL LAKE DRIVE
EGG HARBOR TWP. NJ 8234

Officer/Director/Trustee Three

KELLIE HILL
SECRETARY/TREASURER
108 CRYSTAL LAKE DRIVE
EGG HARBOR TWP. NJ 8234

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/19
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHERRI HICKS
Signature Title PRESIDENT
Signature Date 5/23/19

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