FORM 1023-EZ for BURNSVILLE HISTORICAL SOCIETY

Field Data
EIN 46-2295236
Case Number EO-2015012-000388
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BURNSVILLE HISTORICAL SOCIETY
Organization’s Mailing Address 190 S RIVER RIDGE CIRCLE
City BURNSVILLE
State MN
ZIP 55337
Accounting period End 12
Primary contact name JEFF JERDE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEFFREY JERDE
PRESIDENT
46 E 125TH ST
BURNSVILLE MN 55337

Officer/Director/Trustee Two

LEN NACHMAN
VICE-PRESIDENT
3004 WIND CAVE COURT
BURNSVILLE MN 55337

Officer/Director/Trustee Three

BONNIE BOBERG
SECRETARY
2600 PARKWOOD DRIVE
BURNSVILLE MN 55337

Officer/Director/Trustee Four

KEVIN SWANSON
TREASURER
5001 WEST 40TH ST
ST LOUIS PARK MN 55416

Officer/Director/Trustee Five

GODAN NUBUDIRIPAD
TRUSTEE
1716 JAMES PLACE
BURNSVILLE MN 55337

Organization’s website BURNSVILLEHISTORY.ORG
Organization’s email INFO@BURNVILLEHISTORY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2013
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
Organization’s purpose Charitable: No
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 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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