FORM 1023-EZ for DANCEBARN COLLECTIVE

Field Data
EIN 81-3020765
Case Number EO-2017257-000198
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DANCEBARN COLLECTIVE
Organization’s Mailing Address 23129 OAK LEAF LANE
City BATTLE LAKE
State MN
ZIP 56515
Accounting period End 6
Primary contact name MOLLY JOHNSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOLLY JOHNSTON
DIRECTOR
23129 OAK LEAF LANE
BATTLE LAKE MN 56515

Officer/Director/Trustee Two

AYUMI SHAFER
DIRECTOR
2908 QUEBEC AVE NORTH
MINNEAPOLIS MN 55427

Officer/Director/Trustee Three

JULIA DEMARS
BOARD MEMBER
106 WEST DUNTON STREET
BATTLE LAKE MN 56515

Officer/Director/Trustee Four

MARY PETTIT
BOARD MEMBER
2600 LAKEVIEW DRIVE
FERGUS FALLS MN 56537

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/2016
Organization Incorporation State MN
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 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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