FORM 1023-EZ for MQHA FOUNDATION

Field Data
EIN 81-4399913
Case Number EO-2017059-000142
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MQHA FOUNDATION
Organization’s Mailing Address 26810 COUNTY HWY 24
City PINE ISLAND
State MN
ZIP 55963
Accounting period End 12
Primary contact name ALLISON EKLUND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN MCGRATH
PRESIDENT
11000 MANNING AVENUE SOUTH
HASTINGS MN 55033

Officer/Director/Trustee Two

JULIE BERNICK
VICE PRESIDENT
PO BOX 166
DELANO MN 55328

Officer/Director/Trustee Three

JAY THESING
SECRETARY
31917 COUNTY 24 BLVD
CANNON FALLS MN 55009

Officer/Director/Trustee Four

MEG SAX
TREASURER
555 SOUTH CENTRAL AVENUE
MILACA MN 56353

Officer/Director/Trustee Five

MARY EBNET
NATIONAL DIRECTOR
15861 COUNTY ROAD 17
HOLDINGFORD MN 56340

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D11 - Single Organization Support
Organization’s purpose Charitable: Yes
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 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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