FORM 1023-EZ for DEER RIVER MUSIC BOOSTERS ASSOCIATION

Field Data
EIN 20-4627409
Case Number EO-2021091-000215
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DEER RIVER MUSIC BOOSTERS ASSOCIATION
Organization’s Mailing Address PO BOX 307
City DEER RIVER
State MN
ZIP 56636
Accounting period End 12
Primary contact name SALLI FOX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SALLI FOX
PRESIDENT
40051 SUNSET LN
DEER RIVER MN 56636

Officer/Director/Trustee Two

SALLI FOX
TREASURER
40051 SUNSET LN
DEE RIVER MN 56636

Officer/Director/Trustee Three

LAEL STORLIE
SECRETARY
45338 CO RD 172
DEER RIVER MN 56636

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SALLI FOX
Signature Title TREASURER
Signature Date 2/19/2021
EIN 20-4627409
Case Number EO-2017298-000299
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DEER RIVER MUSIC BOOSTERS ASSOCIATION
Organization’s Mailing Address PO BOX 307
City DEER RIVER
State MN
ZIP 56636
Accounting period End 12
Primary contact name SALLI FOX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JODY ANDERSON
PRESIDENT
47545 TILLYS RD
TALMOON MN 56637-2085

Officer/Director/Trustee Two

SALLI FOX
VICE PRESIDENT
40051 SUNSET LN
DEER RIVER MN 56636

Officer/Director/Trustee Three

MICHELE NEWBERG
TREASURER
35359 STATE HIGHWAY 6
DEER RIVER MN 56636

Officer/Director/Trustee Four

MELISSA MONROE
SECRETARY
32996 SUMAC RD
DEER RIVER MN 56636

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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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