FORM 1023-EZ for JACKSONVILLE PERFORMING ARTS INC

Field Data
EIN 47-5314215
Case Number EO-2018130-000181
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACKSONVILLE PERFORMING ARTS INC
Organization’s Mailing Address 211 WAGON FORD ROAD
City BEAULAVILLE
State NC
ZIP 28518
Accounting period End 12
Primary contact name PETER DYBA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORETTA WHALEY
PRESIDENT/DIRECTOR
211 WAGON FORD ROAD
BEAULAVILLE NC 28518

Officer/Director/Trustee Two

NIKKI DYBA
VICE PRESIDENT/DIRECTOR
211 WAGON FORD ROAD
JACKSONVILLE NC 28540

Officer/Director/Trustee Three

PETER DYBA
SECRETARY
9 BARKSDALE DRIVE
JACKSONVILLE NC 28540

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/16
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
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 Yes
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 PETER DYBA
Signature Title SECRETARY
Signature Date 5/7/18

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