FORM 1023-EZ for COOPERS BMT FOUNDATION

Field Data
EIN 81-4633815
Case Number EO-2016347-000133
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COOPERS BMT FOUNDATION
Organization’s Mailing Address 5742 155TH LANE NW
City RAMSEY
State MN
ZIP 55303
Accounting period End 12
Primary contact name PAM BIRKHOLZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD H COOPER III
PRESIDENT
5742 155TH LANE NW
RAMSEY MN 55303

Officer/Director/Trustee Two

PATRICIA L COOPER
VICE PRESIDENT
5742 155TH LANE NW
RAMSEY MN 55303

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H30 - Cancer Research
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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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