FORM 1023-EZ for NORTHVILLE BALLET THEATRE

Field Data
EIN 47-1729778
Case Number EO-2014254-000556
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHVILLE BALLET THEATRE
Organization’s Mailing Address 47100 TIMBERLANE STREET
City NORTHVILLE
State MI
ZIP 48167
Accounting period End 12
Primary contact name JENNIFER OERTEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHRYN ACHESON
PRESIDENT, DIRECTOR
47100 TIMBERLANE STREET
NORTHVILLE MI 48167

Officer/Director/Trustee Two

KIM DANIEL COOKE
VP, TREASURER, SECRETARY, DIRECTOR
47100 TIMBERLANE STREET
NORTHVILLE MI 48167

Officer/Director/Trustee Three

KATHY FLOWERS
DIRECTOR
915 FAIRFIELD COURT
SOUTH LYON MI 48178

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
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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