FORM 1023-EZ for EHS DANCE TEAM BOOSTER CLUB

Field Data
EIN 84-2865261
Case Number EO-2019254-000291
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EHS DANCE TEAM BOOSTER CLUB
Organization’s Mailing Address 3103 NE 132ND AVENUE
City VANCOUVER
State WA
ZIP 98682
Accounting period End 12
Primary contact name JENNIFER BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER BROWN
DIRECTOR
3103 NE 132ND AVENUE
VANCOUVER WA 98682

Officer/Director/Trustee Two

KRISTEN EDMIASTON
DIRECTOR
7805 SE ELLIS STREET
PORTLAND OR 97206

Officer/Director/Trustee Three

HEATHER SANCHEZ
DIRECTOR
1011 NE KEYES ROAD C
VANCOUVER WA 98684

Organization’s website
Organization’s email NELJENBROWN@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/19
Organization Incorporation State WA
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 Yes
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 JENNIFER BROWN
Signature Title DIRECTOR
Signature Date 9/9/19

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