FORM 1023-EZ for ECHO CREEK MEDIA GROUP

Field Data
EIN 46-5190621
Case Number EO-2017272-000378
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ECHO CREEK MEDIA GROUP
Organization’s Mailing Address 17866 36TH AVE NO
City PLYMOUTH
State MN
ZIP 55446
Accounting period End 12
Primary contact name DAVID KAUFMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID KAUFMAN
PRESIDENT
306 LAKEVIEW AVE
LONG LAKE MN 55356

Officer/Director/Trustee Two

KARI JO SKOGQUIST
VICE PRESIDENT
5001 CHICAGO AVE
MINNEAPOLIS MN 55417

Officer/Director/Trustee Three

MARILYN BLASUS
TREASURER
3224 IDAHO AVE SO
ST LOUIS PARK MN 55426-3414

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2013
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A32 - Television
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 46-5190621
Case Number EO-2014340-000274
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ECHO CREEK MEDIA GROUP
Organization’s Mailing Address 17866 38TH AVE NO
City PLYMOUTH
State MN
ZIP 55446
Accounting period End 1
Primary contact name DAVID KAUFMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID KAUFMAN
PRESIDENT
306 LAKEVIEW AVE
LONG LAKE MN 55356

Officer/Director/Trustee Two

KARI JO SKOGQUIST
VICE PRESIDENT
306 LAKEVIEW AVE
LONG LAKE MN 55356

Officer/Director/Trustee Three

MARILYN BLASUS
TREASURER
3224 IDAHO AVE SO
ST LOUIS PARK MN 55426

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2013
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A32 - Television
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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