FORM 1023-EZ for MANKATO PEDIATRIC RESPITE INCORPORATED
| Field | Data |
|---|---|
| EIN | 47-4612360 |
| Case Number | EO-2015208-000428 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | MANKATO PEDIATRIC RESPITE INCORPORATED |
| Organization’s Mailing Address | 107 SOUTH 2ND STREET |
| City | MANKATO |
| State | MN |
| ZIP | 56001 |
| Accounting period End | 12 |
| Primary contact name | WADE ABED |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
KATIE MCDONALD
CO-CHAIRPERSON
117 BALCERZAK DRIVE
MANKAT MN 56001
Officer/Director/Trustee Two
MEGAN CHASE
CO-CHAIRPERSON
13931 FARMINGTON WAY
APPLE VALLEY MN 55124
Officer/Director/Trustee Three
KELLY KRUMWEIDE
BOARD MEMBER
50180 190 STREET
LAKE CRYSTAL MN 56055
Officer/Director/Trustee Four
ELIZABETH THOMPSON
BOARD MEMBER
315 LORAINE DRIVE
LAKE CRYSTAL MN 56055
Officer/Director/Trustee Five
LYNN KUECHLE
BOARD MEMBER
65 NORTH HILL DRIVE
MAN MN 56001
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/7/2015 |
| Organization Incorporation State | MN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E92 - Home Health Care |
| 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 | 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 | |
| Signature Title | |
| Signature Date |
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