FORM 1023-EZ for SCLERODERMA WARRIORS

Field Data
EIN 85-3014166
Case Number EO-2021097-001078
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SCLERODERMA WARRIORS
Organization’s Mailing Address 11024 AQUILA BLUFFS CIRCLE
City BLOOMINGTON
State MN
ZIP 55438
Accounting period End 12
Primary contact name MELANIE GORNICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELANIE GORNICK
CHAIR
11024 AQUILA BLUFFS CIR
BLOOMINGTON MN 55438

Officer/Director/Trustee Two

FLETCHER GORNICK
TREASURER
219C SE 8TH ST
MINNEAPOLIS MN 55415

Officer/Director/Trustee Three

BARB HANNA
MEMBER AT LARGE
8301 W 110TH ST
BLOOMINGTON MN 55438

Officer/Director/Trustee Four

THOMAS MILLER
VICE CHAIR
11024 AQUILA BLUFFS CIR
BLOOMINGTON MN 55438

Officer/Director/Trustee Five

BETHANY ZUCCO
SECRETARY
5212 JAMES AVE S
MINNEAPOLIS MN 55419

Organization’s website SCLERODERMAWARRIORS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2020
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 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 MELANIE GORNICK
Signature Title CHAIR
Signature Date 3/17/2021

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