FORM 1023-EZ for IMMERSE

Field Data
EIN 80-0967487
Case Number EO-2014227-000080
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IMMERSE
Organization’s Mailing Address 1344 LOGAN AVE N
City MINNEAPOLIS
State MN
ZIP 55411-3170
Accounting period End 12
Primary contact name AMY LAURENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MELISSA LUNDQUIST
PRESIDENT
9140 JAMES AVE S
BLOOMINGTON MN 55431

Officer/Director/Trustee Two

ERIC YERIGAN
VICE PRESIDENT
6151 5TH ST NE
FRIDLEY MN 55432

Officer/Director/Trustee Three

KATHLEEN CHRISTOPHER
SECRETARY
659 CARROLL AVE
ST PAUL MN 55104

Officer/Director/Trustee Four

ERICK STOHR
TREASURER
3036 W LAKE ST APT 333
MINNEAPOLIS MN 55416

Officer/Director/Trustee Five

AMY LAURENT
WOMEN'S DIRECTOR
1344 LOGAN AVE N
MINNEAPOLIS MN 55411-3170

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/2013
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
One Third Support Gifts No
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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