FORM 1023-EZ for KAPPA FOUNDATION OF SIGMA ALPHA MU

Field Data
EIN 47-1989168
Case Number EO-2015303-000179
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KAPPA FOUNDATION OF SIGMA ALPHA MU
Organization’s Mailing Address 16805 22ND AVE N
City PLYMOUTH
State MN
ZIP 55447-2204
Accounting period End 12
Primary contact name DUSTIN NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACK KOHLER
PRESIDENT
16805 22ND AVE N
PLYMOUTH MN 55447-2204

Officer/Director/Trustee Two

MARK MECKLER
VICE PRESIDENT
16805 22ND AVE N
PLYMOUTH MN 55447-2204

Officer/Director/Trustee Three

BRUCE MELEMED
TREASURER
16805 22ND AVE N
PLYMOUTH MN 55447-2204

Officer/Director/Trustee Four

SCOTT SEILER
SECRETARY
5901 CEDAR LAKE ROAD
MINNEAPOLIS MN 55416-1488

Officer/Director/Trustee Five

RUSS BERMAN
VICE PRESIDENT
16805 22ND AVE N
PLYMOUTH MN 55447-2204

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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