FORM 1023-EZ for THE REBIRTH ARTS ACADEMY

Field Data
EIN 46-5325858
Case Number EO-2015093-000256
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE REBIRTH ARTS ACADEMY
Organization’s Mailing Address 18311 RAINBOW DRIVE
City LATHRUP VILLAGE
State MI
ZIP 48076-9998
Accounting period End 12
Primary contact name GERRARD ALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GERRARD ALLEN
PRESIDENT OF ARTS
18311 RAINBOW DRIVE
LATHRUP VILLAGE MI 48076-9998

Officer/Director/Trustee Two

TYRELL BOYDSTON
PRESIDENT OF ADVISING
948 JEFFERSON
YPSILANTI MI 48197-9998

Officer/Director/Trustee Three

JUSTIN WILLIAMS
PRESIDENT OF AFFAIRS
1224 E SAGINAW STREET APT 41
LANSING MI 48823-9998

Organization’s website
Organization’s email THEREBIRTHARTSACADEMY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2014
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: No
Religious: No
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 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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