FORM 1023-EZ for MISSIONMADE

Field Data
EIN 81-3765907
Case Number EO-2016253-000475
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISSIONMADE
Organization’s Mailing Address 3990 ALABAMA AVE S
City ST LOUIS PARK
State MN
ZIP 55416
Accounting period End 3
Primary contact name JENNIFER URBAN - CAF NO 0308-14263R
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHERINE KESSENICH
PRESIDENT + DIRECTOR
229 7TH ST SE
MINNEAPOLIS MN 55414

Officer/Director/Trustee Two

DAVID HELLSTROM
TREASURER + DIRECTOR
4704 COLFAX AVE S
MINNEAPOLIS MN 55419

Officer/Director/Trustee Three

AARON ROTH
SECRETARY + DIRECTOR
3500 ARBOR LN
MINNETONKA MN 55317

Officer/Director/Trustee Four

BENJAMIN BURGUM
DIRECTOR
4280 CHIMO EAST ST
DEEPHAVEN MN 55391

Officer/Director/Trustee Five

JENNIFER VAN WYCK
DIRECTOR
5275 UNION TERRACE CT
PLYMOUTH MN 55442

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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
Signature Title
Signature Date

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