FORM 1023-EZ for FIELDS BALLET NYC INC

Field Data
EIN 81-3826899
Case Number EO-2016302-000277
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FIELDS BALLET NYC INC
Organization’s Mailing Address C/O ALLEN FIELDS 111 E 88 ST APT 8D
City NEW YORK
State NY
ZIP 10128
Accounting period End 8
Primary contact name NADIA KADDOUR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALLEN FIELDS
DIRECTOR AND PRESIDENT
111 E 88 ST APT 8D
NEW YORK NY 10128

Officer/Director/Trustee Two

ROBERT GARDNER
DIRECTOR AND TREASURER
2534 WOODLAND AVENUE
DULUTH MN 55803

Officer/Director/Trustee Three

NADIA KADDOUR
DIRECTOR AND SECRETARY
7 PARK AVENUE APT 65
NEW YORK NY 10016

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A63 - Ballet
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 Yes
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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