FORM 1023-EZ for SPACE ST CROIX INC

Field Data
EIN 81-1806257
Case Number EO-2016078-000254
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPACE ST CROIX INC
Organization’s Mailing Address 802 EIGHTH ST
City HUDSON
State WI
ZIP 54016-1775
Accounting period End 12
Primary contact name CHRISTOPHER MICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRISTOPHER MICK
EXECUTIVE DIRECTOR
802 EIGHTH
HUDSON WI 54016-1775

Officer/Director/Trustee Two

MARK GHERTY
DIRECTOR
747 GHERTY LN
HUDSON WI 54016-7862

Officer/Director/Trustee Three

MICHAEL SOLURI
DIRECTOR
357 W ELEVENTH ST 1A
NEW YORK NY 10014-6238

Officer/Director/Trustee Four

DAVID ASH
DIRECTOR
2917 THIRTY-THIRD AVE NE
ST. ANTHONY MN 55418-1641

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/29/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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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