FORM 1023-EZ for ACT UNITED

Field Data
EIN 83-4154853
Case Number EO-2020062-000198
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ACT UNITED
Organization’s Mailing Address 950 TRUMBLE ST
City CHASKA
State MN
ZIP 55318-1234
Accounting period End 12
Primary contact name JESSICA BARTHOLOMEW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA BARTHOLOMEW
CEO
522 WESTWOOD LANE
CHASKA MN 55318-1429

Officer/Director/Trustee Two

DAWN PETERSON
DIRECTOR
19718 ESCORT TRAIL
FARMINGTON MN 55024-7204

Officer/Director/Trustee Three

BETH JOHNSON
DIRECTOR
11309 MIRO CIRCLE
SAN DIEGO CA 92131-3314

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/2019
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I73 - Sexual Abuse, Prevention of
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 Yes
Donation of funds No
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 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 JESSICA BARTHOLOMEW
Signature Title CEO
Signature Date 2/27/2020

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