FORM 1023-EZ for ELK RIVER FIRE FOUNDATION

Field Data
EIN 86-2339172
Case Number EO-2021097-000531
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELK RIVER FIRE FOUNDATION
Organization’s Mailing Address 13836 186TH LN NW
City ELK RIVER
State MN
ZIP 55330
Accounting period End 12
Primary contact name MELISSA WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA WILSON
PRESIDENT
13836 186TH LN NW
ELK RIVER MN 55330

Officer/Director/Trustee Two

JILL VITO-LARSON
VICE PRESIDENT
863 VERNON AVE
ELK RIVER MN 55330

Officer/Director/Trustee Three

KARLIE MYETTE
SECRETARY
11157 190 1/2 AVE NW
ELK RIVER MN 55330

Officer/Director/Trustee Four

DANIELLA COLLINS
TREASURER
18449 178TH ST NW
BIG LAKE MN 55309

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2021
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y12 - Fund Raising and/or Fund Distribution
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 MELISSA WILSON
Signature Title PRESIDENT
Signature Date 3/12/2021

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