FORM 1023-EZ for ANGEL DANCE

Field Data
EIN 81-1930055
Case Number EO-2016116-000194
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANGEL DANCE
Organization’s Mailing Address 739 32ND STREET
City DES MOINES
State IA
ZIP 50312
Accounting period End 12
Primary contact name NIKI FISHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NIKI FISHER
SECRETARY
739 32ND STREET
DES MOINES IA 50312-3715

Officer/Director/Trustee Two

CARLA RUBLE
TREASURER
6417 MOTT AVE
WINDSOR HEIGHTS IA 50324-1809

Officer/Director/Trustee Three

BRANDI CHASAR
PRESIDENT
3820 LAY STREET
DES MOINES IA 50317-4121

Officer/Director/Trustee Four

PATRICIA KARSJENS
DIRECTOR
1087 28TH STREET
DES MOINES IA 50311-4124

Officer/Director/Trustee Five

MYSHELLE RHODES
VICE-PRESIDENT
1117 CRESTON AVE
DES MOINES IA 50315-1808

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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
Signature Title
Signature Date

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