FORM 1023-EZ for TRIPLE E INC

Field Data
EIN 83-4279187
Case Number EO-2019105-000432
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRIPLE E INC
Organization’s Mailing Address 17890 IRONS COURT
City LAKEVILLE
State MN
ZIP 55044
Accounting period End 12
Primary contact name CYNTHIA SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CYNTHIA SCOTT
VICE PRESIDENT
17890 IRONS COURT
LAKEVILLE MN 55044

Officer/Director/Trustee Two

ROOSEVELT SCOTT
PRESIDENT
17890 IRONS COURT
LAKEVILLE MN 55044

Officer/Director/Trustee Three

THOMAS ERNIE SCOTT
MEMBER
12901 16TH AVENUE SOUTH
BURNSVILLE MN 55337

Officer/Director/Trustee Four

ROZELLE WEADEH SCOTT
MEMBER
17890 IRONS COURT
LAKEVILLE MN 55044

Officer/Director/Trustee Five

ROOSEVELT ISRAEL SCOTT
MEMBER
17890 IRONS COURT
LAKEVILLE MN 55044

Organization’s website HTTPS://TRIPLEEINC.ORG
Organization’s email CYNTUS68@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/19
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 ROOSEVELT SCOTT
Signature Title PRESIDENT
Signature Date 4/11/19

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