FORM 1023-EZ for HUSKY BOOSTER CLUB

Field Data
EIN 47-4957959
Case Number EO-2016012-000166
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HUSKY BOOSTER CLUB
Organization’s Mailing Address 6385 BEACH RD
City EDEN PRAIRIE
State MN
ZIP 55344
Accounting period End 12
Primary contact name OMAR MAREI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

YOLANDA DAHLEN
OFFICER
15416 WILLOWOOD DR
MINNETONKA MN 55345

Officer/Director/Trustee Two

OMAR MAREI
OFFICER
1334 W MINNEHAHA PKWY
MINNEAPOLIS MN 55419

Officer/Director/Trustee Three

ROSS FORMELL
OFFICER
2117 KENWOOD PKWY
MINNEAPOLIS MN 55405

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/2015
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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
Signature Title
Signature Date

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