FORM 1023-EZ for THRIVE WITH PYRUVATE KINASE DEFICIENCY ORGANIZATION
| Field | Data |
|---|---|
| EIN | 87-1365230 |
| Case Number | EO-2021196-000274 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THRIVE WITH PYRUVATE KINASE DEFICIENCY ORGANIZATION |
| Organization’s Mailing Address | 7801 95TH ST W |
| City | BLOOMINGTON |
| State | MN |
| ZIP | 55438 |
| Accounting period End | 12 |
| Primary contact name | JENNIFER URBAN - CAF NO 0308-14263R |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TAMARA SCHRYVER
PRESIDENT AND DIRECTOR
7801 95TH ST W
BLOOMINGTON MN 55438
Officer/Director/Trustee Two
CONOR STOEBNER
TREASURER AND DIRECTOR
4000 GRAND CHEVELLE PARKWAY
CHASKA MN 55318
Officer/Director/Trustee Three
THERESA JOHNSEN
SECRETARY AND DIRECTOR
106 PARKLAND AVE
DULUTH MN 55805
Officer/Director/Trustee Four
REBECCA HERZOG
DIRECTOR
1203 LAKE ELMO DR STE 217
BILLINGS MT 59105
Officer/Director/Trustee Five
JILL HOLTERHAUS
DIRECTOR
2805 MAGNOLIA LN N
PLYMOUTH MN 55441
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/24/2021 |
| 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: No 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 | TAMARA SCHRYVER |
| Signature Title | PRESIDENT AND DIRECTOR |
| Signature Date | 7/13/2021 |
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