FORM 1023-EZ for ELEVATION DANCE COMPANY BOOSTER CLUB

Field Data
EIN 85-2132260
Case Number EO-2020237-000345
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELEVATION DANCE COMPANY BOOSTER CLUB
Organization’s Mailing Address 23730
City MAPLE VALLEY
State WA
ZIP 98038
Accounting period End 6
Primary contact name ANN CHENAULT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM BARBER
PRESIDENT
22131 230TH AVE SE
MAPLE VALLEY WA 98038

Officer/Director/Trustee Two

HOWARD HALES
VICE PRESIDENT
23720 231ST PL SE
MAPLE VALLEY WA 98038

Officer/Director/Trustee Three

ANN CHENAULT
TREASURER
25827 184TH PL SE
COVINGTON WA 98042

Officer/Director/Trustee Four

LORI SOLBERG
SECRETARY
22816 SE 267TH PL
MAPLE VALLEY WA 98038

Officer/Director/Trustee Five

JERRILEE DOUGLASS
DIRECTOR OF FUNDRAISING
24817 204TH AVE SE
MAPLE VALLEY WA 98038

Organization’s website
Organization’s email EDCBOOSTERMV@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2020
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: Yes
Religious: No
Educational: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LORI SOLBERG
Signature Title SECRETARY
Signature Date 8/20/2020

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