FORM 1023-EZ for CAPITAL CITY HIGH SCHOOL DANCE TEAMBOOSTERS

Field Data
EIN 87-2321961
Case Number EO-2021259-000274
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAPITAL CITY HIGH SCHOOL DANCE TEAMBOOSTERS
Organization’s Mailing Address 114 RIVERWOOD DRIVE
City JEFFERSON CITY
State MO
ZIP 65101
Accounting period End 12
Primary contact name GAYLIN CARVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOLLY NUNN
PRESIDENT
114 RIVERWOOD DRIVE
JEFFERSON CITY MO 65109

Officer/Director/Trustee Two

LORI TOMLIN
V-PRES
123 DOVER STREET
JEFFERSON CITY MO 65109-4925

Officer/Director/Trustee Three

TARA SMITH
SECRETARY
4035 OXFORD ROAD
JEFFERSON CITY MO 65109-6480

Officer/Director/Trustee Four

GAYLIN CARVER
2ND V-PRES
430 CRYSTAL VIEW TERRACE
JEFFERSON CITY MO 65109

Officer/Director/Trustee Five

CHRISTINA PETERS
TREAS
5115 SCRUGGS STATION ROAD
JEFFERSON CITY MO 65109

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2021
Organization Incorporation State MO
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 GAYLIN CARVER
Signature Title 2ND V-PRES
Signature Date 9/14/2021

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