FORM 1023-EZ for PARTNERS IN EQUITY INCLUSION

Field Data
EIN 81-3212682
Case Number EO-2016201-000526
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PARTNERS IN EQUITY INCLUSION
Organization’s Mailing Address 6808 GLEASON RC
City EDINA
State MN
ZIP 55439
Accounting period End 12
Primary contact name MICHELLE VAN RYN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE VAN RYN
EXECUTIVE DIRECTOR
6808 GLEASON RD
EDINA MN 55439

Officer/Director/Trustee Two

JOHN DOVIDIO
PRESIDENT OF BOARD
265 HIGH ST
COVENTRY CT 06238

Organization’s website WWW.P-E-I.ORG
Organization’s email CONTACT@P-E-I.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R30 - Intergroup, Race Relations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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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