FORM 1023-EZ for PREMIERE DANCE COMPANY BOOSTER CLUB

Field Data
EIN 85-3181862
Case Number EO-2021037-000043
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PREMIERE DANCE COMPANY BOOSTER CLUB
Organization’s Mailing Address 6701 WESTOWN PARKWAY STE 100
City WEST DES MOINES
State IA
ZIP 50266
Accounting period End 12
Primary contact name BROOKE JACOBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BROOKE JACOBS
CO PRESIDENT
6701 WESTOWN PARKWAY
WEST DES MOINES IA 50266

Officer/Director/Trustee Two

MELISSA HORTON
CO PRESIDENT
14802 MADISON AVE
URBANDALE IA 50323

Officer/Director/Trustee Three

NICOLE LESTER-EKIS
SECRETARY
2945 SE TIMBERLINE DR
WAUKEE IA 50263

Officer/Director/Trustee Four

EMILY COLWLL
TREASURER
515 SE WHITETAIL LN
WAUKEE IA 50263

Officer/Director/Trustee Five

JENNIFER GREENLEAF
DIRECTOR
14903 HORTON AVE
URBANDALE IA 50263

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/2019
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BROOKE JACOBS
Signature Title CO PRESIDENT
Signature Date 12/17/2020

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