FORM 1023-EZ for C4 - CONCERNED CITIZENS FOR A CREATIVE COMMUNITY

Field Data
EIN 46-0605687
Case Number EO-2015251-000172
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name C4 - CONCERNED CITIZENS FOR A CREATIVE COMMUNITY
Organization’s Mailing Address 1718 SE 8 1/2 AVENUE
City ROCHESTER
State MN
ZIP 55904
Accounting period End 7
Primary contact name PATRICK KEANE 507-269-5415
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JESSICA RIPLEY
TREASURER
1550 SE 10TH AVE APT 3
ROCHESTER MN 55904

Officer/Director/Trustee Two

PATRICK KEANE
SECRETARY
1718 8 1/2 AVENUE SE
ROCHESTER MN 55904

Officer/Director/Trustee Three

TYLER AUG
VICE CHAIRMAN
7 11TH AVENUE NW APT 1
ROCHESTER MN 55901

Officer/Director/Trustee Four

HEATHER JERDEE
BOARD CHAIRMAN
5268 56TH AVE NW
ROCHESTER MN 55901

Officer/Director/Trustee Five

JAMES FRICKER
BOARD MEMBER
434 9TH AVENUE SE
ROCHESTER MN 55904

Organization’s website WWW.C4MN.ORG
Organization’s email INFO@C4MN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/2012
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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