FORM 1023-EZ for SPIRIT SONG

Field Data
EIN 84-3039910
Case Number EO-2019262-000055
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPIRIT SONG
Organization’s Mailing Address 6100 HADLEY AVE S
City COTTAGE GROVE
State MN
ZIP 55016
Accounting period End 12
Primary contact name BEENA SOIEFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY VAALER REIMANN
DIRECTOR
6100 HADLEY AVE S
COTTAGE GROVE MN 55016

Officer/Director/Trustee Two

MONICA ANN HAMER
DIRECTOR
1045 QUENTIN AVE S
LAKELAND MN 55043

Officer/Director/Trustee Three

MARGARET REGRUTH
DIRECTOR
10300 CITY WALK DR 231
WOODBURY MN 55129

Officer/Director/Trustee Four

PAMELA KAY MCGLINCH
DIRECTOR
2068 COTTAGE GROVE DRIVE
WOODBURY MN 55129

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/13/19
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARY VAALER REIMANN
Signature Title DIRECTOR
Signature Date 9/17/19

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