FORM 1023-EZ for BLAK AND BLUE DANCE PROJECT

Field Data
EIN 47-3542287
Case Number EO-2015224-000222
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLAK AND BLUE DANCE PROJECT
Organization’s Mailing Address 11606 SAN VICENTE BLVD
City LOS ANGELES
State CA
ZIP 90049-5102
Accounting period End 12
Primary contact name WILLIAM S DOLINSKY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VERONICA GIBLAK-MCGARRY
PRESIDENT DIRECTOR
1615 BENEDICT CANYON DR
BEVERLY HILLS CA 90210-2002

Officer/Director/Trustee Two

MARIANNE ACOSTA
TREASURER DIRECTOR
1316 HARVARD STREET
SANTA MONICA CA 90403-4710

Officer/Director/Trustee Three

WILLIAM DOLINSKY
SECRETARY DIRECTOR
919 9TH ST APT 4
SANTA MONICA CA 90403-2847

Officer/Director/Trustee Four

MOLLY LORENZ
DIRECTOR
16628 PARK LANE CIR
LOS ANGELES CA 90029

Officer/Director/Trustee Five

ARISTIDES MCGARRY
DIRECTOR
1615 BENEDICT CANYON DR
BEVERLY HILLS CA 90210-2002

Organization’s website WWW.MNRDANCEFACTORY.COM/BLAKANDBLUEDANCEPROJECT
Organization’s email BLACKANDBLUEDP@MNRDANCEFACTORY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2015
Organization Incorporation State CA
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: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 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
Signature Title
Signature Date

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