FORM 1023-EZ for SPACE COAST YOGA AND DANCE INC

Field Data
EIN 86-3093956
Case Number EO-2021104-000074
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPACE COAST YOGA AND DANCE INC
Organization’s Mailing Address 825 TORRENCE LN
City MELBOURNE
State FL
ZIP 32935
Accounting period End 4
Primary contact name MELISSA D JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA JACKSON
CEO
825 TORRENCE LN
MELBOURNE FL 32935

Officer/Director/Trustee Two

LAURA IBACH
PRESIDENT
3095 SEA GATE CT
MERRITT ISLAND FL 32953

Officer/Director/Trustee Three

BARBRA FITZSIMMONS
VICE PRESIDENT
MERCER ST NW
PALM BAY FL 32907

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 Yes
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 MELISSA JACKSON
Signature Title CEO
Signature Date 4/7/2021

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