FORM 1023-EZ for PHOENIX

Field Data
EIN 35-2683397
Case Number EO-2020192-000290
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PHOENIX
Organization’s Mailing Address 6697 ELM STREET
City NORTH BRANCH
State MN
ZIP 55056
Accounting period End 12
Primary contact name JEREMY KORTUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA KORTUS
OFFICER
6697 ELM STREET
NORTH BRANCH MN 55056

Officer/Director/Trustee Two

JEREMY KORTUS
OFFICER
6697 ELM STREET
NORTH BRANCH MN 55056

Officer/Director/Trustee Three

JAMES BAXTER
OFFICER
6179 384TH LANE N
NORTH BRANCH MN 55056

Officer/Director/Trustee Four

TRACY PIERCE
OFFICER
12796 183RD COURT NW
ELK RIVER MN 55330

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2020
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P19 - Nonmonetary Support N.E.C.
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JEREMY KORTUS
Signature Title OFFICER
Signature Date 7/8/2020

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