FORM 1023-EZ for WHITE BEAR MUSIC BOOSTER CLUB

Field Data
EIN 82-1001644
Case Number EO-2017257-000204
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WHITE BEAR MUSIC BOOSTER CLUB
Organization’s Mailing Address 5045 DIVISION AVENUE - ROOM 511
City WHITE BEAR LAKE
State MN
ZIP 55110
Accounting period End 4
Primary contact name JERRY PERRON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMELIA OSLUND
PRESIDENT
4778 SANDRA LANE
WHITE BEAR LAKE MN 55110

Officer/Director/Trustee Two

JERRY PERRON
VICE PRESIDENT
5952 PORTLAND AVENUE
WHITE BEAR LAKE MN 55110

Officer/Director/Trustee Three

KENNETH PURDHAM
SECRETARY/TREASURER
4496 EVERGREEN DRIVE
VADNAIS HEIGHTS MN 55127

Officer/Director/Trustee Four

DEBORAH STENDER
DIRECTOR-AT-LARGE
1905 IVY LANE
WHITE BEAR LAKE MN 55110

Officer/Director/Trustee Five

SHANNON ANDERSON
STAFF DIRECTOR
3908 14TH AVENUE SOUTH
MINNEAPOLIS MN 55407

Organization’s website WBLMUSICBOOSTERS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
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 Yes
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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