FORM 1023-EZ for PHOENIX YOUTH BALLET THEATRE

Field Data
EIN 47-1103162
Case Number EO-2014258-000507
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PHOENIX YOUTH BALLET THEATRE
Organization’s Mailing Address 1745 W DEER VALLEY RD SUITE 102
City PHOENIX
State AZ
ZIP 85027
Accounting period End 12
Primary contact name SAMANTHA GOBEILLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KELLY GOLNER
PRESIDENT
2011 E AVENIDA DEL SOL
PHOENIX AZ 85024

Officer/Director/Trustee Two

SAMANTHA GOBEILLE
VICE PRESIDENT
12254 N 59TH ST
SCOTTSDALE AZ 85254

Officer/Director/Trustee Three

MARIANNE SCOTTO
BOARD MEMBER
8335 W MARYLAND AVE
GLENDALE AZ 85305

Officer/Director/Trustee Four

ANNE HICKLING
BOARD MEMBER
3772 E MATTHEW DRIVE
PHOENIX AZ 85050

Organization’s website
Organization’s email SAMANTHA@ARIZONADANCEARTISTRY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/2014
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6O -
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 Yes
One Third Support Gifts No
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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