FORM 1023-EZ for BLACK DYNASTY DANCE CLUB INC

Field Data
EIN 82-1575277
Case Number EO-2017145-000402
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLACK DYNASTY DANCE CLUB INC
Organization’s Mailing Address 1013 SPRINGDALE CT
City DELAND
State FL
ZIP 32720
Accounting period End 12
Primary contact name DANESHA BRITT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANESHA BRITT
BOARD CHAIR
1013 SPRINGDALE CT
DELAND FL 32720

Officer/Director/Trustee Two

PAULETTE SMITH
VICE CHAIR
840 KICKLIGHTER RD
LAKE HELEN FL 32744

Officer/Director/Trustee Three

JOY MILLINGS
SECRETARY
2719 SANGER TERRACE
DELTONA FL 32738

Officer/Director/Trustee Four

ALFREDO THOMPSON
TREASURER
1025 SPRINGDALE CT
DELAND FL 32720

Officer/Director/Trustee Five

BETTY HARRIS
MEMBER
211 W DIVISION ST
DELAND FL 32720

Organization’s website
Organization’s email BRIT3700@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
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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