FORM 1023-EZ for MINNESOTA CHILD CARE PROVIDER INFORMATION NETWORK

Field Data
EIN 82-1016236
Case Number EO-2017135-000346
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MINNESOTA CHILD CARE PROVIDER INFORMATION NETWORK
Organization’s Mailing Address 927 SOMMERVILLE STREET
City SHAKOPEE
State MN
ZIP 55379
Accounting period End 9
Primary contact name LINDA SCHESSO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA SCHESSO
CHAIR OF THE BOARD
927 SOMMERVILLE STREET
SHAKOPEE MN 55379

Officer/Director/Trustee Two

DELORIS FRISKE
TREASURER -SECRETARY
2905 199TH STREET EAST
PRIOR LAKE MN 55372

Officer/Director/Trustee Three

CHERYL GILLARD
VICE CHAIR OF THE BOARD
303 NORTH CENTRAL AVENUE
DODGE CENTER MN 55927

Officer/Director/Trustee Four

BRENDA NOVACK
MARKETING CHAIR
808 NORTH SHORE DRIVE
WATERVILLE MN 56096

Officer/Director/Trustee Five

AMBER HENNESSEY
REPRESENTATIVE OF NORTHERN MN
12646 CHESTNUT DRIVE
BAXTER MN 56425

Organization’s website WWW.MCCPIN.ORG
Organization’s email INFOR@MCCPIN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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