FORM 1023-EZ for MIDWEST DANCE BOOSTER CLUB

Field Data
EIN 82-2738320
Case Number EO-2017270-000342
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIDWEST DANCE BOOSTER CLUB
Organization’s Mailing Address 4458 WESTLAKE COURT
City BEL AIRE
State KS
ZIP 67220
Accounting period End 7
Primary contact name MOLLEY TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBRA BRANDON
PRESIDENT
4909 E 27TH CT N
WICHITA KS 67220

Officer/Director/Trustee Two

MOLLEY TAYLOR
TREASURER
4458 WESTLAKE COURT
BEL AIRE KS 67220

Officer/Director/Trustee Three

MARIA CAIN
VICE PRESIDENT
2758 BEACON HILL COURT
WICHITA KS 67220

Officer/Director/Trustee Four

MACKENZIE PETERSON
SECRETARY
2506 N HYACINTH LANE
WICHITA KS 67204

Organization’s website
Organization’s email MIDWESTBOOSTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2017
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - 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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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