FORM 1023-EZ for KASSON MANTORVILLE DANCE TEAM KOMETTES DANCE TEAM BOOSTER CLUB

Field Data
EIN 82-0939132
Case Number EO-2018197-000370
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KASSON MANTORVILLE DANCE TEAM KOMETTES DANCE TEAM BOOSTER CLUB
Organization’s Mailing Address 61218 252ND AVE
City MANTORVILLE
State MN
ZIP 55955
Accounting period End 6
Primary contact name LORI BROOKKMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORI BROOKMAN
TREASURER
61218 252ND AVE
MANTORVILLE MN 55955

Officer/Director/Trustee Two

CARRIE JENSEN
PRESIDENT
1301 12TH ST NE
KASSON MN 55944

Officer/Director/Trustee Three

SUE HUGHES
VICE PRESIDENT
1500 2ND ST NW
KASSON MN 55955

Organization’s website KMKOMETTESDANCE.COM
Organization’s email KMDANCETEAM@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 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 BROOKMAN
Signature Title TREASURER
Signature Date 7/13/18

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