| Field | Data |
|---|---|
| EIN | 87-1765401 |
| Case Number | EO-2021238-000203 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | INCLUSION HEALTHCARE PA |
| Organization’s Mailing Address | 13060 DAYTON RIVER RD |
| City | DAYTON |
| State | MN |
| ZIP | 55327 |
| Accounting period End | 12 |
| Primary contact name | MADELINE EMLAW |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
MADELINE EMLAW
EXECUTIVE DIRECTOR
13060 DAYTON RIVER RD
DAYTON MN 55327
TODD SCHAEFFER
TREASURER
13060 DAYTON RIVER RD
DAYTON MN 55327
JERAD JUSTESEN
BOARD CHAIR
13060 DAYTON RIVER RD
DAYTON MN 55327
RUBY TAM
BOARD VICE CHAIR
13060 DAYTON RIVER RD
DAYTON MN 55327
THERESA CACEK
SECRETARY
13060 DAYTON RIVER RD
DAYTON MN 55327
| Organization’s website | |
|---|---|
| Organization’s email | MADELINE.EMLAW@OUTLOOK.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/16/2021 |
| Organization Incorporation State | MN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E32 - Ambulatory Health Center, Community Clinic |
| 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 | MADELINE EMLAW |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 8/24/2021 |
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