FORM 1023-EZ for SOUTHSIDE ON STAGE

Field Data
EIN 46-2865828
Case Number EO-2017194-000273
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHSIDE ON STAGE
Organization’s Mailing Address 2623 N MAIN ST STE E
City DANVILLE
State VA
ZIP 24540
Accounting period End 12
Primary contact name KAREN HAYES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN HAYES
EXECUTIVE DIRECTOR
249 FORESTROAD DR
DANVILLE VA 24540

Officer/Director/Trustee Two

PAM BROWN
TREASURER
204 VICAR ROAD
DANVILLE VA 24540

Officer/Director/Trustee Three

JACI WHITFIELD
SECRETARY
137 LONDON BRIDGE DR
DANVILLE VA 24541

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/2017
Organization Incorporation State VA
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: 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 Yes
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
Signature Title
Signature Date

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