FORM 1023-EZ for CALEB ERICKSON MEMORIAL FUND INC

Field Data
EIN 47-2053623
Case Number EO-2016123-000193
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CALEB ERICKSON MEMORIAL FUND INC
Organization’s Mailing Address 617 9TH AVENUE SE
City WASECA
State MN
ZIP 56093
Accounting period End 12
Primary contact name KARLA ERICKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KARLA ERICKSON
PRESIDENT
617 9TH AVENUE SE
WASECA MN 56093

Officer/Director/Trustee Two

KELLY SKOGEN
VICE PRESIDENT
602 2ND AVE NW
WASECA MN 56093

Officer/Director/Trustee Three

PEGGY ZINNIEL
DIRECTOR
805 9TH AVE SE
WASECA MN 56093

Officer/Director/Trustee Four

SHANNON BICE
DIRECTOR
708 19TH AVE NE
WASECA MN 56093

Officer/Director/Trustee Five

KRIS RIGDON
DIRECTOR
36790 LAKE KNOLL DR
WASECA MN 56093

Organization’s website WWW.CALEBERICKSONMEMORIAL.COM
Organization’s email CALEBERICKSONMEMORIALDAY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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 Yes
One Third Support Gifts No
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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