FORM 1023-EZ for LEESVILLE ROAD HIGH SCHOOL DANCE BOOSTERS INC

Field Data
EIN 81-3228923
Case Number EO-2016203-000123
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEESVILLE ROAD HIGH SCHOOL DANCE BOOSTERS INC
Organization’s Mailing Address 8410 PRIDE WAY
City RALEIGH
State NC
ZIP 27613
Accounting period End 6
Primary contact name MIKE LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANNON FULLER
PRESIDENT
8015 PAPAYA DRIVE
RALEIGH NC 27613

Officer/Director/Trustee Two

CHERYL MUNCIE
VICE PRESIDENT
5208 EASTHORPE DRIVE
RALEIGH NC 27613

Officer/Director/Trustee Three

MICHAEL LEWIS
TREASURER
7430 BRANDON ALLEN AVE
RALEIGH NC 27613

Officer/Director/Trustee Four

LISA NELSON
SECRETARY
4015 SUNRIDGE ROAD
RALEIGH NC 27613

Organization’s website WWW.LEESVILLEDANCE.COM
Organization’s email LEESVILLEDANCE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: Yes
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
Signature Title
Signature Date

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