FORM 1023-EZ for ANDEAN COMMUNITY PARTNERS

Field Data
EIN 82-1740001
Case Number EO-2017180-000209
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANDEAN COMMUNITY PARTNERS
Organization’s Mailing Address 9801 185TH ST E
City PRIOR LAKE
State MN
ZIP 55372-9378
Accounting period End 12
Primary contact name DIANE HARRINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUGLAS TATE
PRESIDENT
9801 185TH ST E
PRIOR LAKE MN 55372-9378

Officer/Director/Trustee Two

THEODORE JOHNSON
TREASURER
5115 EBERT COURT
NORTHFIELD MN 55057

Officer/Director/Trustee Three

JOSEPH HARRINGTON
VICE PRESIDENT
5108 ALDRICH AVE S
MINNEAPOLIS MN 55419

Officer/Director/Trustee Four

JOHN MITTELSTEADT
OFFICER
4844 ALDRICH AVE S
MINNEAPOLIS MN 55419

Officer/Director/Trustee Five

DIANE HARRINGTON
SECRETARY
5108 ALDRICH AVE S
MINNEAPOLIS MN 55419

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
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 Yes
Conducting Activities Outside of United States Yes
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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