FORM 1023-EZ for JCC MUSIC BOOSTER CLUB INC

Field Data
EIN 81-1387777
Case Number EO-2020043-000403
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JCC MUSIC BOOSTER CLUB INC
Organization’s Mailing Address 75 BECKY DRIVE
City JACKSON
State MN
ZIP 56143-1161
Accounting period End 12
Primary contact name CARRIE DOSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARRIE DOSE
PRESIDENT
75
JACKSON MN 56143-1161

Officer/Director/Trustee Two

ROBYN REED
VP
113 POND DRIVE
JACKSON MN 56143

Officer/Director/Trustee Three

KELLY ANTONSON
TREASURER
916 GRANT ST
JACKSON MN 56143

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2016
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CARRIE DOSE
Signature Title PRESIDENT
Signature Date 2/10/2020

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