FORM 1023-EZ for MS BODY SOUL

Field Data
EIN 46-5200750
Case Number EO-2015002-000345
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MS BODY SOUL
Organization’s Mailing Address 2626 BURD PLACE
City ST LOUIS PARK
State MN
ZIP 55426
Accounting period End 12
Primary contact name BJ LAVELLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIER THOMAS
DIRECTOR
2626 BURD PLACE
ST LOUIS PARK MN 55426

Officer/Director/Trustee Two

ANGELA LAVELLE
DIRECTOR
2325 RIVENDELL LANE
MINNETONKA MN 55305

Officer/Director/Trustee Three

REBECCA BORMANN
DIRECTOR
3311 YUKON AVENUE SOUTH
ST LOUIS PARK MN 55426

Officer/Director/Trustee Four

BENJAMIN LAVELLE
DIRECTOR
2325 RIVENDELL LANE
MINNETONKA MN 55305

Organization’s website WWW.MSBODYANDSOUL.COM
Organization’s email MSBODYANDSOUL1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
One Third Support Gifts No
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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