FORM 1023-EZ for EPITOME OF DANCE

Field Data
EIN 82-3261608
Case Number EO-2019176-000118
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EPITOME OF DANCE
Organization’s Mailing Address 5049 LINDORA DR
City COLUMBUS
State OH
ZIP 43232
Accounting period End 12
Primary contact name BOBBIE JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TONISA SHOUSE
CEO
5049 LINDORA DR
COLUMBUS OH 43232

Officer/Director/Trustee Two

ASIA SHOUSE
COO
5049 LINDORA DR
COLUMBUS OH 43232

Officer/Director/Trustee Three

DENISE SHOUSE
GENERAL MANAGER
5049 LINDORA DR
COLUMBUS OH 43232

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/16
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
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 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 TONISA SHOUSE
Signature Title CEO
Signature Date 6/20/19

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