FORM 1023-EZ for SICK BIZ INC

Field Data
EIN 82-5040451
Case Number EO-2018243-000279
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SICK BIZ INC
Organization’s Mailing Address 558 131ST AVE N
City CHAPLIN
State MN
ZIP 55316
Accounting period End 12
Primary contact name HILARY JASTRAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HILARY JASTRAM
CEO
558 131ST AVE N
CHAMPLIN MN 55316

Officer/Director/Trustee Two

DEACON JASTRAM
CFO
558 131ST AVE N
CHAMPLIN MN 55316

Officer/Director/Trustee Three

GALENA OJIEM
SECRETARY
115 FLORADALE RD
LIVERPOOL NY 13088

Officer/Director/Trustee Four

EMILY VOGT
CHIEF MARKETING OFFICER
2480 RIVER BEND TRAIL
MAYER MN 55369

Officer/Director/Trustee Five

KATHRYN TAGUE
CHIEF COMMUNICATIONS OFFICER
2422 BYFIELD DR
CEDAR PARK TX 78316

Organization’s website SICKBIZ.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/17
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HILARY JASTRAM
Signature Title CEO
Signature Date 8/29/18

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