| Field | Data |
|---|---|
| EIN | 84-3879346 |
| Case Number | EO-2020037-000280 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ST LUKE MOBILE MEDICAL CLINIC |
| Organization’s Mailing Address | 550 RICE STREET |
| City | ST PAUL |
| State | MN |
| ZIP | 55103 |
| Accounting period End | 12 |
| Primary contact name | LISA RUDQUIST |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
LISA RUDQUIST
CHAIR
15387 AQUILA AVE
SAVAGE MN 55378
GEORGE TODROS
VICE CHAIR
9124 GATEWAY LN
EDEN PRARIE MN 55347
SARAH KHOURY
SECRETARY
1225 LASALLE AVE
MINNEAPOLIS MN 55403
CARSTON WAGNER
TREASURER
1595 NORTHROP ST
ST PAUL MN 55108
STEVE RAKES
BOARD MEMBER
6201 MILDRED AVE
EDINA MN 55436
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/31/2019 |
| Organization Incorporation State | MN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion Services) |
| 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 | 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 | LISA RUDQUIST |
| Signature Title | CHAIR |
| Signature Date | 2/4/2020 |
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