FORM 1023-EZ for HOUGH HS DANCE BOOSTER

Field Data
EIN 82-0717857
Case Number EO-2017079-000286
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOUGH HS DANCE BOOSTER
Organization’s Mailing Address 12420 BAILEY ROAD
City CORNELIUS
State NC
ZIP 28031-9134
Accounting period End 12
Primary contact name CARI BRUNELLE - PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARI BRUNELLE
PRESIDENT
12821 CADGWITH COVE DRIVE
HUNTERSVILLE NC 28078-5720

Officer/Director/Trustee Two

DEE CORNELIUS
VICE PRESIDENT AND SECRETARY
PO BOX 841
CORNELIUS NC 28031

Officer/Director/Trustee Three

STACY LAWRENCE
TREASURER
9108 PARK GROVE ST
HUNTERSVILLE NC 28078

Officer/Director/Trustee Four

BECKY BOMANN
DIRECTOR
12420 BAILEY RD
CORNELIUS NC 28031

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2015
Organization Incorporation State NC
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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