FORM 1023-EZ for THE TNT EXTREME DANCE FOUNDATION

Field Data
EIN 84-3997711
Case Number EO-2020176-000297
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE TNT EXTREME DANCE FOUNDATION
Organization’s Mailing Address 18452 W CREEK DRIVE
City TINLEY PARK
State IL
ZIP 60477
Accounting period End 12
Primary contact name RICK PHILLIPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TARA JURGOVAN
DIRECTOR
6600 181ST STREET
TINLEY PARK IL 60477

Officer/Director/Trustee Two

VALERIE COSTA
DIRECTOR
8727 CASHEL LANE
TINLEY PARK IL 60487

Officer/Director/Trustee Three

MICHAEL BURKLOW
DIRECTOR
7431 W HICKORY CREEK DR
FRANKFORT IL 60423

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/2019
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 VALERIE COSTA
Signature Title DIRECTOR
Signature Date 6/22/2020

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