FORM 1023-EZ for ACTS 17 28 DANCE INC

Field Data
EIN 83-1062993
Case Number EO-2018253-000126
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ACTS 17 28 DANCE INC
Organization’s Mailing Address 8373 SOUTH 100TH STREET
City FRANKLIN
State WI
ZIP 53132
Accounting period End 8
Primary contact name AMANDA QUEEN STRUEBING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD RITTERBUSCH
PRESIDENT
PO BOX 321421
FRANKLIN WI 53132

Officer/Director/Trustee Two

MICHELE STAMN
SECRETARY
325 NORTH PARK BLVD
BROOKFIELD WI 53005

Officer/Director/Trustee Three

LAURA GORECTKE
TREASURER
S39W22244 TIMM DRIVE
WAUKESHA WI 53189

Officer/Director/Trustee Four

AMANDA QUEEN STRUEBING
BOARD MEMBER
8373 SOUTH 100TH STREET
FRANKLIN WI 53132

Organization’s website
Organization’s email EDDIEAMANDA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 CHAD RITTERBUSCH
Signature Title PRESIDENT
Signature Date 9/6/18

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