FORM 1023-EZ for ETHOS INC

Field Data
EIN 81-2802359
Case Number EO-2020261-000220
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ETHOS INC
Organization’s Mailing Address 13718 COUNTRY PLACE
City BURNSVILLE
State MN
ZIP 55337
Accounting period End 12
Primary contact name DELBERT AMIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DELBERT AMIE
PRESIDENT
13718 COUNTRY PLACE
BURNSVILLE MN 55337

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2015
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name DELBERT AMIE
Signature Title PRESIDENT
Signature Date 9/15/2020
EIN 81-2802359
Case Number EO-2016155-000268
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ETHOS INC
Organization’s Mailing Address 18269 KERRVILLE TRAIL
City LAKEVILLE
State MN
ZIP 55044
Accounting period End 12
Primary contact name TORRION AMIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TORRION AMIE
EXECUTIVE DIRECTOR
18269 KERRVILLE TRAIL
LAKEVILLE MN 55044

Organization’s website NONE
Organization’s email BRYMSTONE9@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2015
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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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