FORM 1023-EZ for THE FAMILY DEVELOPMENT CENTER FOUNDATION

Field Data
EIN 82-2994408
Case Number EO-2017289-000283
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE FAMILY DEVELOPMENT CENTER FOUNDATION
Organization’s Mailing Address 475 CLEVELAND AVE N STE 316
City ST PAUL
State MN
ZIP 55104
Accounting period End 12
Primary contact name JENNIFER URBAN - CAF NO 0308-14263R
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DON SHELBY
PRESIDENT + DIRECTOR
100 GROVES ST
EXCELSIOR MN 55331

Officer/Director/Trustee Two

CARA BEAMES MA LP
SECRETARY + DIRECTOR
2124 DUPONT AVE S
MINNEAPOLIS MN 55405

Officer/Director/Trustee Three

VALERIE NEBEL
TREASURER + DIRECTOR
1782 MONTREAL AVE
ST PAUL MN 55116

Officer/Director/Trustee Four

JOE REID
DIRECTOR
718 WASHINGTON AVE N STE 303
MINNEAPOLIS MN 55401

Officer/Director/Trustee Five

MARY STEINMETZ
DIRECTOR
2900 THOMAS AVE S STE 1916
MINNEAPOLIS MN 55416

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
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 Yes
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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