FORM 1023-EZ for REVOLUTIONS DANCE INC

Field Data
EIN 13-4304018
Case Number EO-2015075-000462
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REVOLUTIONS DANCE INC
Organization’s Mailing Address 934 VALLEY VIEW CIRCLE
City PALM HARBOR
State FL
ZIP 34684
Accounting period End 10
Primary contact name DWAYNE SCHEUNEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DWAYNE SCHEUNEMAN
PRESIDENT
934 VALLEY VIEW CIRCLE
PALM HARBOR FL 34684-4463

Officer/Director/Trustee Two

MARION BALDEON
VICE PRESIDENT
3215 W LUTZ LAKE FERN RD
LUTZ FL 33558-4906

Officer/Director/Trustee Three

KEVIN LAFLAM
SECRETARY
934 VALLEY VIEW CIRCLE
PALM HARBOR FL 34684-4463

Officer/Director/Trustee Four

SCOTT PETERSON
BOARD MEMBER
233 36TH AVE NE
SAINT PETERSBURG FL 33704-1535

Officer/Director/Trustee Five

DANIEL PERRY
BOARD MEMBER
3147 DUANE AVE
OLDSMAR FL 34677-5605

Organization’s website WWW.REVDANCE.ORG
Organization’s email REVDANCETAMPA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2005
Organization Incorporation State FL
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: 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 Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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