FORM 1023-EZ for LUNDGREN-SVOBODA MEMORIAL SCHOLARSHIP FUND

Field Data
EIN 83-2728319
Case Number EO-2018344-000305
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LUNDGREN-SVOBODA MEMORIAL SCHOLARSHIP FUND
Organization’s Mailing Address 18100 DAIRY LANE
City JORDAN
State MN
ZIP 55352
Accounting period End 12
Primary contact name THOMAS STOCKERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GAIL SVOBODA
PRESIDENT/TRUSTEE
4040 GRAINWOOD TRAIL
PRIOR LAKE MN 55372

Officer/Director/Trustee Two

ROXANE SVOBODA
SEVRETARY/TRUSTEE
4040 GRAINWOOD TRAIL
PRIOR LAKE MN 55372

Officer/Director/Trustee Three

THOMAS STOCKERT
TREASURER/TRUSTEE
5524 DOMINICK DRIVE
MINNETONKA MN 55343

Officer/Director/Trustee Four

JUNIEVE LUNDGREN
TRUSTEE
811 HIGHWAY 11 NORTH
BADGER MN 56714

Officer/Director/Trustee Five

JAMES SVOBODA
TRUSTEE
17851 ZUMBRO AVE
SHAKOPEE MN 55379

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name THOMAS STOCKERT
Signature Title TREASURER/TRUSTEE
Signature Date 12/6/18

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