FORM 1023-EZ for MOMS BALANCE

Field Data
EIN 82-0615688
Case Number EO-2017068-000375
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOMS BALANCE
Organization’s Mailing Address 6915 STATE HWY 95
City PRINCETON
State MN
ZIP 55371-6043
Accounting period End 12
Primary contact name ASHLY HUGHES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASHLY HUGHES
CHAIR
6915 STATE HWY 95
PRINCETON MN 55371-6043

Officer/Director/Trustee Two

JILL VOERSTE
VICE CHAIR
25656 20TH ST W
ZIMMERMAN MN 55398-2138

Officer/Director/Trustee Three

MICHELLE SENGBUSCH
SITE COORDINATOR/TREASURER
26225 9TH STREET WEST
ZIMMERMAN MN 55398-2138

Organization’s website WWW.MOMSBALANCE.ORG
Organization’s email MOMSBALANCEPRINCETON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y01 - 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 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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