FORM 1023-EZ for LBHS DANCE

Field Data
EIN 83-0609860
Case Number EO-2019182-000761
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LBHS DANCE
Organization’s Mailing Address 300 E OLD PASS RD
City LONG BEACH
State MS
ZIP 39560
Accounting period End 5
Primary contact name KEEAH MCKLVEEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANE RAINEY
PRESIDENT
105 VANCE PL
LONG BEACH MS 39560

Officer/Director/Trustee Two

JANET FRUGE
VICE PRESIDENT
107 SHORE DR
LONG BEACH MS 39560

Officer/Director/Trustee Three

KEEAH MCKLVEEN
TREASURER
21320 DAUGHERTY RD
LONG BEACH MS 39560

Officer/Director/Trustee Four

JEANETTE WHEAT
SECRETARY
98 GANDY CIRLE
LONG BEACH MS 39560

Officer/Director/Trustee Five

KARA SWARTZ
MEMBER AT LARGE
212 ALVERADO DR
LONG BEACH MS 39560

Organization’s website
Organization’s email LONGBEACHBEARCATBELLES@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/19
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 KEEAH MCKLVEEN
Signature Title TREASURER
Signature Date 6/29/19

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