FORM 1023-EZ for STUDENTS CONNECTING THROUGH INTERNATIONAL SERVICE

Field Data
EIN 81-0753494
Case Number EO-2016022-000221
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STUDENTS CONNECTING THROUGH INTERNATIONAL SERVICE
Organization’s Mailing Address 17092 80TH PL N
City MAPLE GROVE
State MN
ZIP 55311
Accounting period End 6
Primary contact name TAMARIE EPLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TAMMIE EPLEY
PRESIDENT
17092 80TH PL N
MAPLE GROVE MN 55311

Officer/Director/Trustee Two

DAN EPLEY
TREASURER
17092 80TH PL N
MAPLE GROVE MN 55311

Officer/Director/Trustee Three

SUSAN PRYCE
SECRETARY
13443 96TH PL N
MAPLE GROVE MN 55369

Officer/Director/Trustee Four

SCOTT TAYLOR
DIRECTOR
6009 XYLON AVE N
NEW HOPE MN 55428

Officer/Director/Trustee Five

MARK FRENCH
DIRECTOR
8124 GOLDEN VALLEY ROAD
GOLDEN VALLEY MN 55427

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2015
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
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 Yes
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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