FORM 1023-EZ for PRE-MEDICAL AMERICAN MEDICAL STUDENT ASSOCIATION PRE-MED AMSA

Field Data
EIN 20-5008880
Case Number EO-2016109-000280
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PRE-MEDICAL AMERICAN MEDICAL STUDENT ASSOCIATION PRE-MED AMSA
Organization’s Mailing Address 300 WASHINGTON AVE SE STE 126
City MINNEAPOLIS
State MN
ZIP 55455-0371
Accounting period End 6
Primary contact name BRADY ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRADY ANDERSON
OFFICER
803 14TH AVE SE
MINNEAPOLIS MN 55414-1515

Officer/Director/Trustee Two

SIKANDAR KHAN
OFFICER
716 WASHINGTON AVE SE APT 617
MINNEAPOLIS MN 55414-2917

Officer/Director/Trustee Three

AUTUMN PACE
OFFICER
701 15TH AVE SE APT 530
MINNEAPOLIS MN 55414-4060

Officer/Director/Trustee Four

OLIVIA SCHNEIDER
OFFICER
1408 CLEVELAND AVE N
ST PAUL MN 55108-1029

Officer/Director/Trustee Five

NUPUR KAMAT
OFFICER
701 15TH AVE SE APT 403
MINNEAPOLIS MN 55414-4048

Organization’s website HTTP://UMNPREMED.COM
Organization’s email PREMEDAMSA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/29/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
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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