FORM 1023-EZ for SOUTH KITSAP DANCE ASSOCIATION

Field Data
EIN 91-2108104
Case Number EO-2014318-000345
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH KITSAP DANCE ASSOCIATION
Organization’s Mailing Address 4280 SE MILE HILL DRIVE UNIT 101
City PORT ORCHARD
State WA
ZIP 98366
Accounting period End 12
Primary contact name TRACY HICKLE OR RACHEL LAMOUREUX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIMBERLY DEGARIMORE
PRESIDENT
4280 SE MILE HILL DRIVE UNIT 101
PORT ORCHARD WA 98366

Officer/Director/Trustee Two

CAROL ANDREWS
VICE PRESIDENT
4280 SE MILE HILL DRIVE UNIT 101
PORT ORCHARD WA 98366

Officer/Director/Trustee Three

RACHEL LAMOUREUX
SECRETARY
4280 SE MILE HILL DRIVE UNIT 101
PORT ORCHARD WA 98366

Officer/Director/Trustee Four

TRACY HICKLE
TREASURER
4280 SE MILE HILL DRIVE UNIT 101
PORT ORCHARD WA 98366

Officer/Director/Trustee Five

TIFFANY LALLY
OFFICER
4280 SE MILE HILL DRIVE UNIT 101
PORT ORCHARD WA 98366

Organization’s website
Organization’s email ACADEMYOFDANCE@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2000
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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