FORM 1023-EZ for THE ENDOLYFE FOUNDATION

Field Data
EIN 83-2749076
Case Number EO-2019105-000451
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE ENDOLYFE FOUNDATION
Organization’s Mailing Address 4856 LOUISIANA AVE N
City MINNEAPOLIS
State MN
ZIP 55428
Accounting period End 12
Primary contact name EMILY BEACOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EMILY BEACOM
PRESIDENT
4856 LOUISIANA AVE N
MINNEAPOLIS MN 55428

Officer/Director/Trustee Two

THERESA ALVARADO
CHAIRPERSON
350 NATHAN LANE N
PLYMOUTH MN 55441

Officer/Director/Trustee Three

LAURA WEHLAGE
CHAIRPERSON
10553 WELCOME CT N
BROOKLYN PARK MN 55443

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G80 - Specifically Named Diseases
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 Yes
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 EMILY BEACOM
Signature Title PRESIDENT
Signature Date 4/12/19

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