FORM 1023-EZ for ISD 196 NORDIC SKI TEAM BOOSTER CLUB

Field Data
EIN 20-0892336
Case Number EO-2017235-000432
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ISD 196 NORDIC SKI TEAM BOOSTER CLUB
Organization’s Mailing Address 972 AUTUMN CIRCLE
City EAGAN
State MN
ZIP 55123
Accounting period End 6
Primary contact name MARC MATSOFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA GRUNKLEE
PRESIDENT
14240 AZALEA PATH
ROSEMOUNT MN 55068

Officer/Director/Trustee Two

KRISTIE LIVINGSTON
VICE PRESIDENT
412 WALNUT STREET
FARMINGTON MN 55024

Officer/Director/Trustee Three

MARC MATSOFF
TREASURER
972 WALNUT STREET
EAGAN MN 55123

Officer/Director/Trustee Four

GEOFFREY WEHRMAN
SECRETARY
4818 RED PINE COURT
EAGAN MN 55123

Organization’s website HTTPS://ISD196NORDIC.SHUTTERFLY.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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