FORM 1023-EZ for CHILDRENS MUSEUM OF MINOT INC

Field Data
EIN 47-2227734
Case Number EO-2015062-000256
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHILDRENS MUSEUM OF MINOT INC
Organization’s Mailing Address 606 BURDICK EXPY W STE A
City MINOT
State ND
ZIP 58701
Accounting period End 12
Primary contact name WENDY KELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JODI SMITH
PRESIDENT
4500 38TH STREET SE
MINOT ND 58701

Officer/Director/Trustee Two

JESSICA HENDERSON
VICE PRESIDENT
2128 WESTFIELD AVE
MINOT ND 58701

Officer/Director/Trustee Three

WENDY KELLER
TREASURER
7121 COUNTY RD 12 W
MINOT ND 58701

Officer/Director/Trustee Four

MARK LYMAN
SECRETARY
2815 5TH STREET SW APT 201
MINOT ND 58701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2014
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A52 - Children's Museums
Organization’s purpose Charitable: No
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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