FORM 1023-EZ for DESTRUCTIVE DIVAS DANCE HOUSE

Field Data
EIN 83-3751827
Case Number EO-2019169-000461
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DESTRUCTIVE DIVAS DANCE HOUSE
Organization’s Mailing Address 2379 HWY 49 N UNIT110B
City BENTONIA
State MS
ZIP 39040
Accounting period End 12
Primary contact name NANNA DECATUR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TYNIEKQUA BOWIE
TRUSTEE
6675
RIDGELAND MS 30157

Officer/Director/Trustee Two

NANNA DECATUR
DIRECTOR
496 WILSON RD
BENTONIA MS 39040

Officer/Director/Trustee Three

ALEX BLANCH
DANCE DIRECTOR
502 WILSON RD
BENTONIA MS 39040

Officer/Director/Trustee Four

SHANTA WASHINGTON
TRUSTEE
212 CANNON AVE
BENTONIA MS 39040

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/18
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
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 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 NANNA DECATUR
Signature Title DIRECTOR
Signature Date 6/14/19

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