FORM 1023-EZ for MCHS DANCE TEAM BOOSTER CLUB CORP

Field Data
EIN 83-1602172
Case Number EO-2018292-000244
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MCHS DANCE TEAM BOOSTER CLUB CORP
Organization’s Mailing Address 123 MIDDLE CREEK PARK AVENUE
City APEX
State NC
ZIP 27539
Accounting period End 8
Primary contact name RYAN A COLLINSWORTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NORMA COLLINSWORTH
PRESIDENT
4820 MILLENS BAY CT
APEX NC 27539

Officer/Director/Trustee Two

NANCY ROBINSON
TREASURER
7353 CAPULIN CREST DR
APEX NC 27539

Officer/Director/Trustee Three

RAQUEL KOPROWICZ
SECRETARY
5936 LARBOARD DR
APEX NC 27539

Organization’s website
Organization’s email DANCEBOOSTERCLUBMCHS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/18
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: Yes
Religious: No
Educational: No
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 NORMA COLLINSWORTH
Signature Title PRESIDENT
Signature Date 10/17/18

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