FORM 1023-EZ for KICK IT OUT DANCE BOOSTERS

Field Data
EIN 81-3439188
Case Number EO-2019288-000228
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KICK IT OUT DANCE BOOSTERS
Organization’s Mailing Address 1760 E GRAND RIVER
City EAST LANSING
State MI
ZIP 48823
Accounting period End 12
Primary contact name JODY KRUMM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JODY KRUMM
SPECIAL ADVISOR
1760 E GRAND RIVER
EAST LANSING MI 48823

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/16
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - 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 Yes
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 Yes
Correctness Declaration Yes
Signature Name JODY KRUMM
Signature Title SPECIAL ADVISOR
Signature Date 10/10/19
EIN 81-3439188
Case Number EO-2016274-000129
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KICK IT OUT DANCE BOOSTERS
Organization’s Mailing Address 1760 EAST GRAND RIVER AVE SUITE A
City EAST LANSING
State MI
ZIP 48823
Accounting period End 12
Primary contact name JODY KRUMM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JODY KRUMM
PRESIDENT
241 EAST HARRIS STREET
LANSING MI 48906

Officer/Director/Trustee Two

LATISHA TAYLOR
VICE PRESIDENT
4201 GLENBURNE BLVD
LANSING MI 48911

Officer/Director/Trustee Three

SARA MILLS
SECRETARY
1615 GEORGETOWN BOULEVARD
LANSING MI 48911

Officer/Director/Trustee Four

TRACY HEUSINKVELD
TREASURER
1635 SOUTH CANAL
LANSING MI 48917

Officer/Director/Trustee Five

MARC SLEIGHT
SERGEANT OF ARMS
1915 RAY STREET
LANSING MI 48910

Organization’s website HTTP://WWW.KICKITOUTDANCE.COM/KIO-BOOSTER-CLUB/
Organization’s email KIOBOOSTER@ATT.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
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 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
Signature Title
Signature Date

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