FORM 1023-EZ for MUSIC THERAPY ASSOCIATION OF NORTH DAKOTA

Field Data
EIN 47-1822216
Case Number EO-2017069-000373
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MUSIC THERAPY ASSOCIATION OF NORTH DAKOTA
Organization’s Mailing Address 523 DEMERS AVE
City GRAND FORKS
State ND
ZIP 58201-4528
Accounting period End 12
Primary contact name ADAIRE REINPOLD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LESLIE SALSBURY
PRESIDENT
2225 S 34TH ST APT 6
GRAND FORKS ND 58201-8803

Officer/Director/Trustee Two

EMILY WANGEN
VICE PRESIDENT
1606 DELLWOOD CT
GRAND FORKS ND 58201-5235

Officer/Director/Trustee Three

ADAIRE REINPOLD
SECRETARY/TREASURER
447 170TH AVE SE
HILLSBORO ND 58045-9251

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2015
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A01 - Alliance/Advocacy 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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