FORM 1023-EZ for PARENTS AND DANCERS DEDICATED TO IRWIN ACADEMY

Field Data
EIN 36-4753068
Case Number EO-2014256-000232
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PARENTS AND DANCERS DEDICATED TO IRWIN ACADEMY
Organization’s Mailing Address 7531 RED MAPLE PLACE
City WESTERVILLE
State OH
ZIP 43082
Accounting period End 12
Primary contact name BOB IRWIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SAMANTHA KLUNK
PRESIDENT
553 PARK ROAD
COLUMBUS OH 43085

Officer/Director/Trustee Two

GAYLE SEROKA
VICE PRESIDENT
4468 SCISSORTAIL LOOP
WESTERVILLE OH 43081

Officer/Director/Trustee Three

JOHN IRWIN
TREASURER
7531 RED MAPLE PLACE
WESTERVILLE OH 43082

Officer/Director/Trustee Four

KELLY MCALEA
SECRETARY
6561 HEMMINGFORD DRIVE
CANAL WINCHESTER OH 43110

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2013
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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