FORM 1023-EZ for STMA MUSIC BOOSTER CLUB

Field Data
EIN 46-3959356
Case Number EO-2017283-000158
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STMA MUSIC BOOSTER CLUB
Organization’s Mailing Address 5800 JAMISON AVE NE
City ST. MICHAEL
State MN
ZIP 55376
Accounting period End 6
Primary contact name JOSEPH OSOWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH OSOWSKI
DIRECTOR
5224 WINCHESTER LANE
BROOKLYN CENTER MN 55429

Officer/Director/Trustee Two

BRANDON BERGER
DIRECTOR
3678 HALIFAX AVENUE NORTH
ROBBINSDALE MN 55422

Officer/Director/Trustee Three

DIANNE BELL
TREASURER
3262 KAHLEN AVENUE NE
ST. MICHAEL MN 55376

Officer/Director/Trustee Four

LOREN BELL
PRESIDENT
3262 KAHLEN AVENUE NE
ST. MICHAEL MN 55376

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2013
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 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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