FORM 1023-EZ for SHERMAN A BAARSTAD MEMORIAL FUND

Field Data
EIN 82-1635364
Case Number EO-2017198-000227
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHERMAN A BAARSTAD MEMORIAL FUND
Organization’s Mailing Address 3177 W CHENEY RD
City MAPLE CITY
State MI
ZIP 49664
Accounting period End 12
Primary contact name DAVID BAARSTAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID BAARSTAD
PRESIDENT
3177 W CHENEY RD
MAPLE CITY MI 49664

Officer/Director/Trustee Two

TENA ELIAS
TREASURER
12250 W LADYBAR LANE
ORLAND PARK IL 60467

Officer/Director/Trustee Three

KRISTI SIECK
SECRETARY
18498 KADI LN
LAKE ANN MI 49650

Officer/Director/Trustee Four

BRETT BAARSTAD
OFFICER
4740 OAKWOOD AVE
DOWNERS GROVE IL 60515

Officer/Director/Trustee Five

STEVE BAARSTAD
OFFICER
15450 SE SWAIN CT
MILWAUKIE OR 97267

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - Fund Raising and/or Fund Distribution
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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