FORM 1023-EZ for MISSISSIPPI MUSIC

Field Data
EIN 82-0977616
Case Number EO-2017090-000467
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISSISSIPPI MUSIC
Organization’s Mailing Address 201 3RD ST NW
City BEMIDJI
State MN
ZIP 56601
Accounting period End 12
Primary contact name NANCY VYSKOCIL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NANCY VYSKOCIL
SEC/ TREAS
201 3RD ST NW
BEMIDJI MN 56601

Officer/Director/Trustee Two

KRISTI TELL MILLER
PRESIDENT
239 AMOS WAY NW
BEMIDJI MN 56601

Officer/Director/Trustee Three

PEGGY STEVENS
VP
12572 STAIS COUNTRY CT NW
BEMIDJI MN 56601

Officer/Director/Trustee Four

MICHAEL HUERBIN
DIRECTOR
2612 BIXBY AVE NE
BEMIDJI MN 56601

Officer/Director/Trustee Five

CHARLES PULKRABEK
DIRECTOR
256 CHICKADEE LN
BEMIDJI MN 56601

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 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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