FORM 1023-EZ for FREE-DAPTIVE DIVERS
| Field | Data |
|---|---|
| EIN | 81-4490331 |
| Case Number | EO-2017009-000290 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | FREE-DAPTIVE DIVERS |
| Organization’s Mailing Address | 10725 SETTLERS LANE |
| City | HANOVER |
| State | MN |
| ZIP | 55341 |
| Accounting period End | 12 |
| Primary contact name | RICHARD KLINE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
RICHARD KLINE
EXECUTIVE DIRECTOR
10725 SETTLERS LANE
HANOVER MN 55341
Officer/Director/Trustee Two
THOMAS CORNELL
PROGRAM DIRECTOR
7309 ALDRICH AVENUE
BROOKLYN PARK MN 55447
Officer/Director/Trustee Three
CHAD WALKER
BOARD MEMBER - SECRETARY
487 PERSERVE COURT
LTTTLE CANADA MN 55117
Officer/Director/Trustee Four
BECKT WALKER
BOARD MEMBER - TREASURER
487 PERSERV COURT
LITTLE CANADA MN 55117
Officer/Director/Trustee Five
KERRI NELSON
BOARD MEMBER - PRESIDENT
4624 CHICAGO AVEUNE SOUTH
MINNEAPOLIS MN 55407
| Organization’s website | FREEDAPTIVE@GMAIL.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/22/2016 |
| Organization Incorporation State | MN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P80 - Services to Promote the Independence of Specific Populations |
| 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 | Yes |
| 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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