FORM 1023-EZ for HISTORY DAY SUPPORT CLUB

Field Data
EIN 41-1793850
Case Number EO-2018144-000131
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HISTORY DAY SUPPORT CLUB
Organization’s Mailing Address 355 MARSHALL AVENUE - 301
City SAINT PAUL
State MN
ZIP 55104
Accounting period End 12
Primary contact name DENNIS SIMONSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENNIS SIMONSON
PRES.
863 IGLEHART AVE
SAINT PAUL MN 55104

Officer/Director/Trustee Two

PAMELA ALSBURY
SECRETARY
149 SOUTH SAINT ALBANS ST
SAINT PAUL MN 55104

Officer/Director/Trustee Three

ANITA SIMONSON
TREASURER
863 IGLEHART
SAINT PAUL MN 55102

Officer/Director/Trustee Four

DENNIS BLUHM
DIRECTOR
355 MARSHALL AVE
SAINT PAUL MN 55104

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/94
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: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DENNIS SIMONSON
Signature Title PRES.
Signature Date 5/22/18

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