FORM 1023-EZ for BALA YOGA & FITNESS

Field Data
EIN 84-4277024
Case Number EO-2020016-000273
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BALA YOGA & FITNESS
Organization’s Mailing Address 68 MIAMI CIR
City ARDEN
State NC
ZIP 28704-9604
Accounting period End 12
Primary contact name TED SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TED SMITH
CHIEF EXECUTIVE OFFICER
68 MIAMI CIR
ARDEN NC

Officer/Director/Trustee Two

EVA VEGA
PRESIDENT
68 MIAMI CIR
ARDEN NC 28704

Officer/Director/Trustee Three

ADAM HUDSON
DIRECTOR
16 WESTRIDGE DR
ASHEVILLE NC 28803

Officer/Director/Trustee Four

KEN WILSON
DIRECTOR
204 BIRCHBARK DR
MILLS RIVER NC 28759

Officer/Director/Trustee Five

SAM RULE
DIRECTOR
40 WHITE OAK RD
ARDEN NC 28704

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TED SMITH
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 1/14/2020

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