FORM 1023-EZ for SOUTHWEST BALLET THEATRE

Field Data
EIN 47-5027713
Case Number EO-2016226-000081
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHWEST BALLET THEATRE
Organization’s Mailing Address 540 N BULLARD AVENUE SUITE 15
City GOODYEAR
State AZ
ZIP 85338-2798
Accounting period End 3
Primary contact name MELISSA HAHNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA HAHNE
PRESIDENT
16892 W JACKSON STREET
GOODYEAR AZ 85338

Officer/Director/Trustee Two

CHERYL GUZ
VICE PRESIDENT
10451 W PALMERAS DRIVE SUITE 250
SUN CITY AZ 85373

Officer/Director/Trustee Three

MELANIE VIOLAND
SECRETARY
15269 W SELLS DRIVE
GOODYEAR AZ 85395

Officer/Director/Trustee Four

SAMANTHA LUPASCU
TREASURER
4830 N 30TH PLACE
PHOENIX AZ 85016

Organization’s website WWW.SOUTHWESTBALLETTHEATRE.ORG
Organization’s email INFO@SOUTHWESTBALLETTHEATRE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2015
Organization Incorporation State AZ
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 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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