FORM 1023-EZ for COMMUNITY GIVING HOPE

Field Data
EIN 81-5396902
Case Number EO-2017195-000238
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY GIVING HOPE
Organization’s Mailing Address 42205 260TH ST
City ARLINGTON
State MN
ZIP 55307-9373
Accounting period End 12
Primary contact name FELICIA BROCKOFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FELICIA BROCKOFF
PRESIDENT
42205 260TH ST
ARLINGTON MN 55307-9373

Officer/Director/Trustee Two

JAMIE GRAMS-PETZEL
VICE PRESIDENT
106 E DOUGLAS ST
ARLINGTON MN 55307-4563

Officer/Director/Trustee Three

BARBARA EHLKE-HERRMANN
SECRETARY/TREASURER
312 E ALDEN ST
ARLINGTON MN 55307-9638

Officer/Director/Trustee Four

ETHAN HENKE
MEMBER
402 W ADAMS ST
ARLINGTON MN 55307-2101

Officer/Director/Trustee Five

KURT MENK
MEMBER
104 E CHANDLER ST
ARLINGTON MN 55307

Organization’s website
Organization’s email CANCERCRUISE55307@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - Fund Raising and/or Fund Distribution
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 No
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 No
One Third Support Gifts Yes
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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