FORM 1023-EZ for MAHTOMEDI SOFTBALL BOOSTER CLUB

Field Data
EIN 82-2613531
Case Number EO-2017250-000355
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAHTOMEDI SOFTBALL BOOSTER CLUB
Organization’s Mailing Address 9877 OLD DEER TRL N
City STILLWATER
State MN
ZIP 55082-9536
Accounting period End 12
Primary contact name BARBARA D NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARBARA NELSON
SECRETARY
9877 OLD DEER TRL N
STILLWATER MN 55082-9536

Officer/Director/Trustee Two

LEE ANN VALSVIK
TREASURER
7810 LEEWARD AVE N
STILLWATER MN 55082-9309

Officer/Director/Trustee Three

LISA GRUNDTNER
PRESIDENT
7 OAKHILL CT
WHITE BEAR LAKE MN 55110-1820

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/2017
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: 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 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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