FORM 1023-EZ for HARRISONBURG DANCE COOPERATIVE

Field Data
EIN 81-2864342
Case Number EO-2016365-000245
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARRISONBURG DANCE COOPERATIVE
Organization’s Mailing Address PO BOX 902
City HARRISONBURG
State VA
ZIP 22803
Accounting period End 6
Primary contact name ASHLEY H WATERBURY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERUSHA WEAVER
PRESIDENT AND DIRECTOR
689 JOHN TYLER CIRCLE APT 102
HARRISONBURG VA 22801

Officer/Director/Trustee Two

SARAH GOSSELIN
TREASURER AND DIRECTOR
5534 GREEN HILL ROAD
LINVILLE VA 22834

Officer/Director/Trustee Three

RISHA METZLER
SECRETARY AND DIRECTOR
1725 COLLEGE AVENUE
HARRISONBURG VA 22802

Officer/Director/Trustee Four

LARA MACK
DIRECTOR
9826 CHERRY GROVE ROAD
LINVILLE VA 22834

Officer/Director/Trustee Five

CYNTHIA MARAFINO
DIRECTOR
825 CHESTNUT DRIVE
HARRISONBURG VA 22801

Organization’s website WWW.HBURGDANCECOOP.ORG
Organization’s email HBURGDANCECOOP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/2016
Organization Incorporation State VA
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: 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 Yes
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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