FORM 1023-EZ for ELMORE COMMUNITY COMMITTEE

Field Data
EIN 47-2802689
Case Number EO-2015022-000200
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELMORE COMMUNITY COMMITTEE
Organization’s Mailing Address PO BOX 275
City ELMORE
State MN
ZIP 56027
Accounting period End 12
Primary contact name SUSAN DICKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CINDA HAGEDORN
PRESIDENT
606 MONDALE
ELMORE MN 56027

Officer/Director/Trustee Two

GAYLEN THOMPSON
VICE PRESIDENT
406 S THORNE AVENUE
ELMORE MN 56027

Officer/Director/Trustee Three

SUSAN DICKSON
TREASURER
107 E JAY STREET
ELMORE MN 56027

Officer/Director/Trustee Four

LINDA WERINGA
SECRETARY
123 NORTH STOCKMAN
ELMORE MN 56027

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W24 - Citizen Participation
Organization’s purpose Charitable: Yes
Religious: No
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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