FORM 1023-EZ for PREMIER BALLET THEATER INC

Field Data
EIN 84-5082443
Case Number EO-2020212-000199
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PREMIER BALLET THEATER INC
Organization’s Mailing Address 14051 NEWPORT AVE - G
City TUSTIN
State CA
ZIP 92780
Accounting period End 12
Primary contact name NICK PHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NAZGUL SHINN
PRESIDENT/DIRECTOR (1)
392 SANTA BARBARA
IRVINE CA 92606

Officer/Director/Trustee Two

HENSON SHINN
TREASURER/DIRECTOR (2)
392 SANTA BARBARA
IRVINE CA 92606

Officer/Director/Trustee Three

KEYARA JOSEPH
SECRETARY
51 LONG MEADOW
IRVINE CA 92620

Organization’s website HTTP://WWW.PREMIERBALLETOC.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2020
Organization Incorporation State CA
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: 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 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 NAZGUL SHINN
Signature Title PRESIDENT/DIRECTOR (1)
Signature Date 5/28/2020

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