FORM 1023-EZ for BALLYHOO ICE THEATRE INC

Field Data
EIN 81-4080197
Case Number EO-2016307-000294
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BALLYHOO ICE THEATRE INC
Organization’s Mailing Address 5771 WILSON AVE
City SOUTH GATE
State CA
ZIP 90280
Accounting period End 9
Primary contact name SUSAN MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN MILLER
PRESIDENT
5771 WILSON AVE
SOUTH GATE CA 90280

Officer/Director/Trustee Two

SAMUEL KIM
VICE PRESIDENT
1244 W GORDON PL
ANAHEIM CA 92801

Officer/Director/Trustee Three

MARY ROBERTSON
SECRETARY
325 W PARK WAY
ANAHEIM CA 92805

Officer/Director/Trustee Four

ANDREA CAMPBELL
TREASURER
8981 COLCHESTER AVE
WESTMINSTER CA 92683

Organization’s website
Organization’s email BALLYHOOICETHEATRE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
Organization’s purpose Charitable: No
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 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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