FORM 1023-EZ for CROSSTOWN CAMERA CLUB

Field Data
EIN 30-1253490
Case Number EO-2021091-000166
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CROSSTOWN CAMERA CLUB
Organization’s Mailing Address 5123 W 98TH ST BOX 1108
City BLOOMINGTON
State MN
ZIP 55437-2040
Accounting period End 6
Primary contact name MARY JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS MOEHN
PRESIDENT
1701 CENTURY CIR APT116
WOODBURY MN 55125-2194

Officer/Director/Trustee Two

SANDRA SWANSON
VICE PRESIDENT
2872 96TH ST E
INVER GROVE HEIGHTS MN 55077-4939

Officer/Director/Trustee Three

MARY JOHNSON
TREASURER
1792 WINDSOR DR S
SHAKOPEE MN 55379-8072

Officer/Director/Trustee Four

ROBERTA ROTH
SECRETARY
4940 ELLIOT AVE
MINNEAPOLIS MN 55417-1140

Officer/Director/Trustee Five

WILLIAM WEBER
MEMBERSHIP DIRECTOR
3824 HUNTINGTON AVE
ST LOUIS PARK MN 55416-4920

Organization’s website WWW.CROSSTOWNCAMERACLUB.ORG
Organization’s email CROSSTOWNCAMERACLUBMN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2020
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A40 - Visual Arts Organizations
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 MARY JOHNSON
Signature Title TREASURER
Signature Date 2/18/2021

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