FORM 1023-EZ for BROOKLYN CRYSTAL CEMETERY ASSOCIATION

Field Data
EIN 82-5488081
Case Number EO-2018136-000339
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROOKLYN CRYSTAL CEMETERY ASSOCIATION
Organization’s Mailing Address 9487 WHITE OAKS CT N
City CHAMPLIN
State MN
ZIP 55316
Accounting period End 4
Primary contact name STEVE WESTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK WENZ
PRESIDENT
16703 58TH ST NE
OTSEGO MN 55330

Officer/Director/Trustee Two

ANITA WESTBERG
VICE PRESIDENT
1256 107TH LN NW
COON RAPIDS MN 55433

Officer/Director/Trustee Three

STEVE WESTER
TREASURER
9487 WHITE OAKS CT N
CHAMPLIN MN 55316

Officer/Director/Trustee Four

ABBY WENZ
SECRETARY
16703 58TH ST NE
OTSEGO MN 55433

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y50 - Cemeteries, Burial Services
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name STEVE WESTER
Signature Title TREASURER
Signature Date 5/11/18

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