FORM 1023-EZ for BLUSTONE SCHOOL FOR THE PERFORMINGARTS INC

Field Data
EIN 84-2842307
Case Number EO-2019310-000016
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUSTONE SCHOOL FOR THE PERFORMINGARTS INC
Organization’s Mailing Address 716 RAMSEY COURT
City SALISBURY
State MD
ZIP 21804
Accounting period End 12
Primary contact name ALLEN WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALLEN WHITE
CEO PRESIDENT
716 RAMSEY COURT APT 101
SALISBURY MD 21804

Officer/Director/Trustee Two

MELANIE KERBER
V.P.
16 FAIRHAVEN COURT
OCEAN PINES MD 21811

Officer/Director/Trustee Three

SAMUEL BRISCO
PRESIDENT BOARD OF DIRECTORS
5360 AIREY ROAD
CAMBRIDGE MD 21613

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/19
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6E - Performing Arts Schools
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALLEN WHITE
Signature Title CEO PRESIDENT
Signature Date 11/3/19
EIN 84-2842307
Case Number EO-2019310-000016
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUSTONE SCHOOL FOR THE PERFORMING ARTS INC
Organization’s Mailing Address 716 RAMSEY COURT
City SALISBURY
State MD
ZIP 21804
Accounting period End 12
Primary contact name ALLEN WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALLEN WHITE
CEO PRESIDENT
716 RAMSEY COURT APT 101
SALISBURY MD 21804

Officer/Director/Trustee Two

MELANIE KERBER
V.P.
16 FAIRHAVEN COURT
OCEAN PINES MD 21811

Officer/Director/Trustee Three

SAMUEL BRISCO
PRESIDENT BOARD OF DIRECTORS
5360 AIREY ROAD
CAMBRIDGE MD 21613

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/19
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6E - Performing Arts Schools
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALLEN WHITE
Signature Title CEO PRESIDENT
Signature Date 11/3/19

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