FORM 1023-EZ for CIRCUSENSE INC

Field Data
EIN 81-4566698
Case Number EO-2020216-000624
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CIRCUSENSE INC
Organization’s Mailing Address 423 ATLANTIC AVE 1E
City BROOKLYN
State NY
ZIP 11217
Accounting period End 7
Primary contact name LISA B LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA B LEWIS
EXECUTIVE DIRECTOR/ARTISTIC DIRECTO
423 ATLANTIC AVE 1E
BROOKLYN NY 11217

Officer/Director/Trustee Two

JESSICA HENTOFF
CHAIRWOMAN OF THE BOARD
4120 PARKER RD
FLORISSANT MO 63033

Officer/Director/Trustee Three

JENNIFER BRICKER-BAUER
BOARD MEMBER
5000 LAUREL CANYON BLVD 303
VALLEY VILLAGE CA 91607

Officer/Director/Trustee Four

JOHNATHAN LEE IVERSON
BOARD MEMBER
7303 RIPLEY COURT
ORLANDO FL 32836

Officer/Director/Trustee Five

SIRI HOROWITZ
BOARD MEMBER
9-01 6TH ST
FAIRLAWN NJ 07410

Organization’s website WWW.CIRCUSENSE.ORG
Organization’s email CIRCUSENSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 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 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 LISA B LEWIS
Signature Title EXECUTIVE DIRECTOR/ARTISTIC DIRECTO
Signature Date 7/31/2020

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