FORM 1023-EZ for REQUIEBROS SPANISH DANCE GROUP

Field Data
EIN 47-2283092
Case Number EO-2015049-000131
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REQUIEBROS SPANISH DANCE GROUP
Organization’s Mailing Address 608 29TH ROAD SOUTH
City ARLINGTON
State VA
ZIP 22202
Accounting period End 12
Primary contact name ALEXANDRA MIGOYA ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CARMEN DE VICENTE
FOUNDER, DIRECTOR
608 29TH RD SOUTH
ARLINGTON VA 22202

Officer/Director/Trustee Two

MICHELLLE HAWORTH
DIRECTOR
7823 BELLEFLOWER DR
SPRINGFIELD VA 22152

Officer/Director/Trustee Three

JEFF RANDALL
DIRECTOR
10458 BRACKETS FORD CIRCLE
MANASSAS VA 20110

Officer/Director/Trustee Four

HILDA LEONE
DIRECTOR
9697 SOTWEED DRIVE
POTOMAC MD 20854

Officer/Director/Trustee Five

KRISTIN PIAZZA
DIRECTOR
3111 COBB HILL LANE
OAKTON VA 22124

Organization’s website
Organization’s email REQUIEBROS123@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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