FORM 1023-EZ for ISD 728 ROBOTICS BOOSTER CLUB

Field Data
EIN 82-3146263
Case Number EO-2017303-000300
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ISD 728 ROBOTICS BOOSTER CLUB
Organization’s Mailing Address PO BOX 633
City ROGERS
State MN
ZIP 55374-0633
Accounting period End 6
Primary contact name BRIDGET LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN HEDUND
FIRST PROGRAMS DIRECTOR
23603 135TH AVE N
ROGERS MN 55374-8675

Officer/Director/Trustee Two

BRIDGET LEE
DIRECTOR OF FINANCE
15067 67TH PL N
MAPLE GROVE MN 55311-4125

Officer/Director/Trustee Three

CHERYL GRAHAM
FTC PROGRAM DIRECTOR SLAK
15920 FAIR MEADOWS LANE
DAYTON MN 55369-2205

Officer/Director/Trustee Four

JASON SCHULTZ
FTC PROGRAM DIRECTOR ROGERS
21212 FOXTAIL LN S
ROGERA MN 55374-4743

Officer/Director/Trustee Five

ROBERT JENSEN
FLL/FLL JR PROGRAM DIRECTOR
1105 LIONS PARK DRIVE 310
ELK RIVER MN 55330-1894

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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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