FORM 1023-EZ for THE MOODSTERS CHILDRENS FOUNDATION

Field Data
EIN 82-2798963
Case Number EO-2018071-000375
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE MOODSTERS CHILDRENS FOUNDATION
Organization’s Mailing Address 5223 LARADA LANE
City EDINA
State MN
ZIP 55436
Accounting period End 12
Primary contact name DENISE DANIELS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENISE DANIELS
CHAIRMAN - EX DIRECTOR - PRESIDENT
5223 LARADA LANE
EDINA MN 55436

Officer/Director/Trustee Two

SCOTT LUTZKE
DIRECTOR - SECRETARY - TREASURER
5223 LARADA LANE
EDINA MN 55436

Officer/Director/Trustee Three

STEVE SCROGGINS
DIRECTOR
130 BUTTERNUT HOLLOW
GREENWICH CT 6830

Officer/Director/Trustee Four

PATRICK CROTTY
DIRECTOR
812 FAIRFIELD CIRCLE
MINNETONKA MN 55305

Officer/Director/Trustee Five

DORENE BAIR
DIRECTOR
1020 WASHINGTON DR
CENTERPORT NY 11721

Organization’s website HTTP://THEMOODSTERS.COM/MOODSTERS-CHILDRENS-FOUNDATION/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/17
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 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 DENISE DANIELS
Signature Title CHAIRMAN - EX DIRECTOR - PRESIDENT
Signature Date 3/9/18

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