FORM 1023-EZ for MHC FOUNDATION

Field Data
EIN 81-4700867
Case Number EO-2017087-000195
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MHC FOUNDATION
Organization’s Mailing Address 4190 190TH STREET EAST
City PRIOR LAKE
State MN
ZIP 55372
Accounting period End 8
Primary contact name ALLISON EKLUND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACY TURNER
CHAIR
10777 110TH ST N
STILLWATER MN 55082

Officer/Director/Trustee Two

THOMAS TWEETEN
TREASURER
4190 190TH ST E
PRIOR LAKE MN 55372

Officer/Director/Trustee Three

KRIS KELLY
SECRETARY
1931 STILLWATER STREET
WHITE BEAR LAKE MN 55110

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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