FORM 1023-EZ for SOUTHWEST NORDIC BOOSTER CLUB

Field Data
EIN 38-4098096
Case Number EO-2019176-000241
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHWEST NORDIC BOOSTER CLUB
Organization’s Mailing Address 2120 GIRARD AVE S
City MINNEAPOLIS
State MN
ZIP 55405
Accounting period End 3
Primary contact name JON FURLOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNA SCHMALZBAUER
PRESIDENT
1913 EWING AVE S
MINNEAPOLIS MN 55416

Officer/Director/Trustee Two

LISA PUGH
TREASURER
3151 DEAN COURT NUMBER 106
MINNEAPOLIS MN 55416

Officer/Director/Trustee Three

DANIEL GRABOW
SECRETARY
228 SHERIDAN AVE S
MINNEAPOLIS MN 55405

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B25 - Secondary, High School
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 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 ANNA SCHMALZBAUER
Signature Title PRESIDENT
Signature Date 6/20/19

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