FORM 1023-EZ for GHS JAZZ DANCE BOOSTER CLUB

Field Data
EIN 80-0098398
Case Number EO-2019079-000388
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GHS JAZZ DANCE BOOSTER CLUB
Organization’s Mailing Address 701 24TH STREET
City GOLDEN
State CO
ZIP 80401-2379
Accounting period End 12
Primary contact name STEPHANIE SEGUR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIE BEHRENS
PRESIDENT
517 CANTON VIEW DRIVE
GOLDEN CO 80403

Officer/Director/Trustee Two

CAROLYN SCHNEIDER
VICE-PRESIDENT
16237 W 51ST LANE
GOLDEN CO 80403

Officer/Director/Trustee Three

STEPHANIE SEGUR
TREASURER
5930 DUNRAVEN WAY
GOLDEN CO 80403

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/04
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 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 STEPHANIE SEGUR
Signature Title TREASURER
Signature Date 3/17/19

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