FORM 1023-EZ for UNIVERSAL DANCE MINISTRY

Field Data
EIN 45-4880309
Case Number EO-2015251-000256
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNIVERSAL DANCE MINISTRY
Organization’s Mailing Address 3422 DOUGLAS DR N
City CRYSTAL
State MN
ZIP 55422
Accounting period End 12
Primary contact name EDNA STEVENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EDNA STEVENS
VICE-CHAIR
3422 DOUGLAS DR N
CRYSTAL MN 55422

Officer/Director/Trustee Two

WALLACE ANDERSON
CHAIR
3353 DOUGLAS DR N
CRYSTAL MN 55422

Officer/Director/Trustee Three

BARBARA ANDERSON
TREASURER
3353 DOUGLAS DR N
CRYSTAL MN 55422

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2012
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: Yes
Religious: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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