FORM 1023-EZ for LISAS DANCE BOOSTERS

Field Data
EIN 83-1574834
Case Number EO-2018229-000367
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LISAS DANCE BOOSTERS
Organization’s Mailing Address 216 N PARK DR
City AURORA
State OH
ZIP 44202
Accounting period End 4
Primary contact name BECKY NEDELKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BECKY NEDELKA
PRESIDENT
216 N PARK DR
AURORA OH 44202

Officer/Director/Trustee Two

PAM BALAWENDER
TREASURER
683 SHADY LAKE RD
KENT OH 44240

Officer/Director/Trustee Three

KRISTEN LUCHKA
VICE PRESIDENT
3171 BERWIN DR
STOW OH 44224

Officer/Director/Trustee Four

CHRISTY JACKSON
SECRETARY
640 TIMBERCREEK RD
SAGAMORE HILLS OH 44067

Officer/Director/Trustee Five

MELANIE DUNDON
PUBLIC RELATIONS DIRECTOR
1270 GAYNELLE AVE
STREETSBORO OH 44241

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - Single Organization Support
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BECKY NEDELKA
Signature Title PRESIDENT
Signature Date 8/15/18

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