FORM 1023-EZ for NERVE DJ INSTITUTE CORPORATION

Field Data
EIN 83-4613649
Case Number EO-2019133-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NERVE DJ INSTITUTE CORPORATION
Organization’s Mailing Address 17325 EUCLID AVE
City CLEVELAND
State OH
ZIP 44112
Accounting period End 12
Primary contact name JOHN O HORTON JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN O HORTON JR
CEO
10705 ENGLEWOOD AVE
CLEVELAND OH 44108

Officer/Director/Trustee Two

SHARON MCDUFFIE
PRESIDENT
2001 FULLER AVE
EUCLID OH 44123

Officer/Director/Trustee Three

JOINICE COOPER
VICE PRESIDENT
14408 GRANGER RD APT 102
MAPLE HTS OH 44137

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B28 - Specialized Education Institutions
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 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 JOHN O HORTON JR
Signature Title CEO
Signature Date 5/9/19

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