FORM 1023-EZ for STUDIO HYSTERA INC

Field Data
EIN 87-2552373
Case Number EO-2021270-000420
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STUDIO HYSTERA INC
Organization’s Mailing Address 4003 INWOOD COURT
City FORT WAYNE
State IN
ZIP 46815
Accounting period End 12
Primary contact name BAILEY BIRELEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BAILEY BIRELEY
PRESIDENT
4003 INWOOD COURT
FORT WAYNE IN 46815

Officer/Director/Trustee Two

TAYLOR CONLIFF
VICE PRESIDENT
5620 DAISY LANE
FORT WAYNE IN 46835

Officer/Director/Trustee Three

ASHLEY MASONER
SECRETARY
2221 PARKLAND DRIVE
FORT WAYNE IN 46825

Officer/Director/Trustee Four

BROOKE SMITH
TREASURER
2440 FAIRFIELD AVE APT 211
FORT WAYNE IN 46825

Organization’s website WWW.STUDIOHYSTERA.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/2021
Organization Incorporation State IN
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: Yes
Scientific: No
Literary: Yes
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 BAILEY BIRELEY
Signature Title PRESIDENT
Signature Date 9/24/2021

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