FORM 1023-EZ for DANCEWEST BOOSTER CLUB

Field Data
EIN 85-3570631
Case Number EO-2021093-000976
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DANCEWEST BOOSTER CLUB
Organization’s Mailing Address 629 WEST 18TH AVE
City ANCHORAGE
State AK
ZIP 99503
Accounting period End 6
Primary contact name LORI BRADFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAYLE SHERBA
PRESIDENT DIRECTOR
7261 OLD HILLSIDE WAY
ANCHORAGE AK 99516

Officer/Director/Trustee Two

KRIS PALMATIER
VICE PRESIDENT TREASURER DIRECTOR
629 WEST 18TH AVE
ANCHORAGE AK 99503

Officer/Director/Trustee Three

LORI BRADFORD
SECRETARY DIRECTOR
19050 VILLAGES SCENIC PKWY
ANCHORAGE AK 99516

Organization’s website DANCEWESTAK.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2020
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LORI BRADFORD
Signature Title SECRETARY DIRECTOR
Signature Date 3/3/2021

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