FORM 1023-EZ for BHS DANCE INC

Field Data
EIN 47-3562332
Case Number EO-2016224-000417
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BHS DANCE INC
Organization’s Mailing Address 36 RICEMAN ROAD
City BERKELEY HEIGHTS
State NJ
ZIP 07922
Accounting period End 7
Primary contact name KELLI MCGOVERN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLI MCGOVERN
DIRECTOR
36 RICEMAN ROAD
BERKELEY HEIGHTS NJ 07922

Officer/Director/Trustee Two

LAUREN ALEXANDER
DIRECTOR/TREASURER
112 LINDBERGH BOULEVARD
BLOOMFIELD NJ 07003

Officer/Director/Trustee Three

LOUISE PAVELKO
PRESIDENT
28 W 33RD STREET
BAYONNE NJ 07002

Officer/Director/Trustee Four

JENNIFER BARET
SECRETARY
34 W 54TH STREET
BAYONNE NJ 07002

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2015
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - Single Organization Support
Organization’s purpose Charitable: No
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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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