FORM 1023-EZ for MILLARD NORTH DANCE INC

Field Data
EIN 47-0842900
Case Number EO-2015282-000335
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MILLARD NORTH DANCE INC
Organization’s Mailing Address 1010 SOUTH 144TH STREET
City OMAHA
State NE
ZIP 68154
Accounting period End 6
Primary contact name ANDREA FELTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANDREA FELTZ
PRESIDENT
15130 HIMEBAUGH AVE
OMAHA NE 68116

Officer/Director/Trustee Two

JONI NIX
VICE PRESIDENT
1029 ELDORADO DRIVE
OMAHA NE 68154

Officer/Director/Trustee Three

KELLY SA
TR
1306 NORTH 162ND STREET
OMAHA NE 68118

Officer/Director/Trustee Four

FELICIA WEAVER
SECRETARY
733 NORTH 155TH STREET
OMAHA NE 68154

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2001
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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