FORM 1023-EZ for MUSKINGUM YOUTH BALLET

Field Data
EIN 47-4351327
Case Number EO-2015191-000303
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MUSKINGUM YOUTH BALLET
Organization’s Mailing Address 531 MAIN ST
City ZANESVILLE
State OH
ZIP 43701
Accounting period End 12
Primary contact name WHITNEY LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WHITNEY LEWIS
PRESIDENT
531 MAIN ST
ZANESVILLE OH 43701

Officer/Director/Trustee Two

CHARLA MIZER
TREASURER
1700 JACKSON RD
ZANESVILLE OH 43701

Officer/Director/Trustee Three

LOIS LOTHES
SECRETARY
1300 SOMERS ST
ZANESVILLE OH 43701

Officer/Director/Trustee Four

LORI HANIFAN
BOARD MEMBER
2825 SOUTH HANNAH DR
ZANESVILLE OH 43701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A63 - Ballet
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 Yes
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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