FORM 1023-EZ for MINNESOTA POLYGRAPH ASSOCIATION

Field Data
EIN 81-2930777
Case Number EO-2018135-000361
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MINNESOTA POLYGRAPH ASSOCIATION
Organization’s Mailing Address 1080 ORYAN TRAIL N
City STILLWATER
State MN
ZIP 55082
Accounting period End 12
Primary contact name MARY STAHL-SWANSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ORIE ORSENDAHL
PRESIDENT
1080 ORYAN TRAIL N
STILLWATER MN 55082

Officer/Director/Trustee Two

DANIEL DOUGLAS
VICE PRESIDENT
1080 ORYAN TRAIL N
STILLWATER MN 55082

Officer/Director/Trustee Three

MARY STAHL-SWANSON
TREASURER
1080 ORYAN TRAIL N
STILLWATER MN 55082

Officer/Director/Trustee Four

MICHAEL SMITH
SECRETARY
1080 ORYAN TRAIL N
STILLWATER MN 55082

Officer/Director/Trustee Five

DIANA MAGAARD
PUBLIC RELATIONS
1080 ORYAN TRAIL N
STILLWATER MN 55082

Organization’s website MINNESOTAPOLYGRAPH.ORG
Organization’s email MNPA23@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/16
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARY STAHL-SWANSON
Signature Title TREASURER
Signature Date 5/10/18

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