FORM 1023-EZ for OSSEO-PARK CENTER GIRLS HOCKEY BOOSTER CLUB

Field Data
EIN 82-3875434
Case Number EO-2021089-000146
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OSSEO-PARK CENTER GIRLS HOCKEY BOOSTER CLUB
Organization’s Mailing Address PO BOX 586
City BROOKLYN PARK
State MN
ZIP 55369
Accounting period End 4
Primary contact name MICHELLE GRANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE GRANT
TREASURER
10308 OREGON AVE N
BROOKLYN PARK MN 55445

Officer/Director/Trustee Two

THERESA STRAND
PRESIDENT
8400 CHEROKEE DRIVE
BROOKLYN PARK MN 55428

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/2018
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHELLE GRANT
Signature Title TREASURER
Signature Date 2/9/2021
EIN 82-3875434
Case Number EO-2019310-000193
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OSSEO-PARK CENTER GIRLS HOCKEY BOOSTER CLUB
Organization’s Mailing Address PO BOX 586
City OSSEO
State MN
ZIP 55369-586
Accounting period End 4
Primary contact name ANGELA DENCHFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA DENCHFIELD
TREASURER
PO BOX 586
OSSEO MN 55369-586

Officer/Director/Trustee Two

JON BODIN
PRESIDENT
PO BOX 586
OSSEO MN 55369-586

Officer/Director/Trustee Three

TARA GILLUND
OFFICER OF MARKETING
PO BOX 586
OSSEO MN 55369-586

Officer/Director/Trustee Four

DERICK HAUG
OFFICER
PO BOX 586
OSSEO MN 55369-586

Organization’s website OPCGIRLSHOCKEY.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/17
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
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 ANGELA DENCHFIELD
Signature Title TREASURER
Signature Date 11/4/19

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