FORM 1023-EZ for NORTHERN SOUL TECHNOLOGIES

Field Data
EIN 81-2979071
Case Number EO-2016259-000122
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHERN SOUL TECHNOLOGIES
Organization’s Mailing Address 15701 LAKE STREET
City OMAHA
State NE
ZIP 68116
Accounting period End 12
Primary contact name BENJAMIN KNUTSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BENJAMIN KNUTSON
PRESIDENT
15701 LAKE STREET
OMAHA NE 68116

Officer/Director/Trustee Two

JOELLEN SMITH
SECRETARY/TREASURER
4509 MADISON STREET
OMAHA NE 68117

Officer/Director/Trustee Three

MEGHAN BROCKHAUS
DIRECTOR
10624 M STREET
OMAHA NE 68127

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/2016
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: Yes
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 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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