FORM 1023-EZ for ELITE DANCE BOOSTER CLUB

Field Data
EIN 84-4011244
Case Number EO-2020178-000419
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELITE DANCE BOOSTER CLUB
Organization’s Mailing Address 313 1ST ST NE BOX 201
City PLATO
State MN
ZIP 55370
Accounting period End 7
Primary contact name ANDREW HASSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW HASSE
PRESIDENT
313 1ST ST NE BOX 201
PLATO MN 55370

Officer/Director/Trustee Two

KALLI HASSE
SECRETARY
313 1ST ST NE BOX 201
PLATO MN 55370

Officer/Director/Trustee Three

JESSICA DEGN
VICE PRESIDENT
125 MACKENTHUN LN
NYA MN 55397

Officer/Director/Trustee Four

ANNETTE AND NATHAN THOMAS
TREASURER/FUNDRAISING
1014 PRAIRIE RIDGE LN
LESTER PRAIRIE MN 55354

Officer/Director/Trustee Five

WAYLON TROTTER
MARKETING/PR EXECUTIVE
405 4TH AVE SW
NYA MN 55397

Organization’s website
Organization’s email ELITEDANCEBOOSTERCLUBNYA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/2019
Organization Incorporation State MN
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANDREW HASSE
Signature Title PRESIDENT
Signature Date 6/24/2020

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