FORM 1023-EZ for CONSERVATORY BALLET FOUNDATION INC

Field Data
EIN 84-4642827
Case Number EO-2020111-000299
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONSERVATORY BALLET FOUNDATION INC
Organization’s Mailing Address 11495 SUNSET HILLS RD STE 110
City RESTON
State VA
ZIP 20190-5257
Accounting period End 12
Primary contact name ALEXIA REDICK BARTLETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXIA REDICK BARTLETT
BOARD MEMBER
11495 SUNSET HILLS RD STE 110
RESTON VA 20190-5257

Officer/Director/Trustee Two

COURTNEY CUTLER-RAIZMAN
BOARD MEMBER
4535 W STREET NW
WASHINGTON DC 20007

Officer/Director/Trustee Three

TOM DOLAN
BOARD MEMBER
214 DONMORE DRIVE
GREAT FALLS VA 22066

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2020
Organization Incorporation State VA
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 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 ALEXIA REDICK BARTLETT
Signature Title BOARD MEMBER
Signature Date 4/17/2020

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