FORM 1023-EZ for SYREN MODERN DANCE

Field Data
EIN 20-0362628
Case Number EO-2016273-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SYREN MODERN DANCE
Organization’s Mailing Address 470 LENOX AVENUE 17H
City NEW YORK
State NY
ZIP 10037-3040
Accounting period End 12
Primary contact name LYNN PETERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATE STAMAND
DIRECTOR
PO BOX 361
BARKHAMSTED CT 06063-1815

Officer/Director/Trustee Two

LYNN PETERSON
DIRECTOR
165 EDWARDS STREET UNIT 3
NEW HAVEN CT 06511-3734

Officer/Director/Trustee Three

RICHARD KATZ
BOARD MEMBER
150 WEST 95TH STREET 4C
NEW YORK NY 10025-6612

Officer/Director/Trustee Four

ROSALIE WETZEL
BOARD MEMBER
84 DONAHUE ROAD
NORTH GRANBY CT 06060-1402

Officer/Director/Trustee Five

HANNAH PARK
BOARD MEMBER
300 SOUTH CENTRAL AVENUE A30
HARTSDALE NY 10530-3146

Organization’s website SYRENDANCE.ORG
Organization’s email INFO@SYRENDANCE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2003
Organization Incorporation State NY
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: 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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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