FORM 1023-EZ for PALMETTO BALLROOM DANCE CLUB

Field Data
EIN 85-2624943
Case Number EO-2021179-000474
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PALMETTO BALLROOM DANCE CLUB
Organization’s Mailing Address 410 EASTBURN CT
City DARLINGTON
State SC
ZIP 29532
Accounting period End 8
Primary contact name PAULINE JELOVCHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAULINE JELOVCHAN
PRESIDENT
725 MUIRFIELD PL
FLORENCE SC 29501

Organization’s website PALMETTODANCECLUB.ORG
Organization’s email PBJELOVCHAN@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/2020
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PAULINE JELOVCHAN
Signature Title PRESIDENT
Signature Date 6/24/2021

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