FORM 1023-EZ for MN DI FOUNDATION

Field Data
EIN 81-3043791
Case Number EO-2016259-000219
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MN DI FOUNDATION
Organization’s Mailing Address 1820 XENIUM LANE NORTH
City PLYMOUTH
State MN
ZIP 55441
Accounting period End 6
Primary contact name LYNN MONTGOMERY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNN MONTGOMERY
CHAIR
12005 EVERGREEN STREET NW
COON RAPIDS MN 55448-2433

Officer/Director/Trustee Two

ADAM RAUTIO
DIRECTOR
3763 FOSS ROAD
ST. ANTHONY MN 55421

Officer/Director/Trustee Three

ANGELA COFFEY
DIRECTOR
3154 69TH STREET EAST
INVER GROVE HEIGHTS MN 55076

Officer/Director/Trustee Four

AMY NYLANDER
TREASURER
8985 WESTHILL POINT
EDEN PRAIRIE MN 55347

Officer/Director/Trustee Five

LEA KAMMERER
SECRETARY
277 GRAFTON AVENUE NORTH
ST. PAUL MN 55128

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education 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 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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