FORM 1023-EZ for NORTH STAR MINIATURE AMERICAN SHEPHERD CLUB

Field Data
EIN 38-3824940
Case Number EO-2016347-000161
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH STAR MINIATURE AMERICAN SHEPHERD CLUB
Organization’s Mailing Address 10670 114TH ST N
City STILLWATER
State MN
ZIP 55082-9414
Accounting period End 12
Primary contact name THERESE STOEBNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARON SLOPER
PRESIDENT
3053 116TH LN NW
COON RAPIDS MN 55433-2851

Officer/Director/Trustee Two

DANA HUNTINGTON
VICE PRESIDENT
2440 28TH AVE SW
CAMBRIDGE MN 55008

Officer/Director/Trustee Three

CONNIE BLEEKER
SECRETARY
22120 RUM RIVER ROAD
ANOKA MN 55303

Officer/Director/Trustee Four

THERESE STOEBNER
TREASURER
10670 114TH ST N
STILLWATER MN 55082-9414

Officer/Director/Trustee Five

LISA RILEY
DIRECTOR
7481 STATE ST
CLEAR LAKE MN 55319

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2010
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
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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