FORM 1023-EZ for WASHBURN HIGH SCHOOL NORDIC BOOSTERCLUB

Field Data
EIN 83-3108874
Case Number EO-2019035-000636
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WASHBURN HIGH SCHOOL NORDIC BOOSTERCLUB
Organization’s Mailing Address 5500 NICOLLET AV S PO BOX 19065
City MINNEAPOLIS
State MN
ZIP 55419-65
Accounting period End 12
Primary contact name BRIAN L CROTTEAU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN CROTTEAU
VICE PRESIDENT
4605 ALDRICH SV S
MINNEAPOLIS MN 55419

Officer/Director/Trustee Two

CARLA BARNHILL
PRESIDENT AND SECRETARY
4709 17TH AV S
MINNEAPOLIS MN 55407

Officer/Director/Trustee Three

JIM BARNHILL
TREASURER
4709 17TH AN S
MINNEAPOLIS MN 55407

Officer/Director/Trustee Four

JACOB POLLAND
HEAD COACH
5548 COLFAX AV S
MINNEAPOLIS MN 55419

Organization’s website HTTPS://WWW.FACEBOOK.COM/GROUPS/186231418226631/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/10/19
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 BRIAN CROTTEAU
Signature Title VICE PRESIDENT
Signature Date 1/11/19

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