| Field | Data |
|---|---|
| EIN | 82-1105863 |
| Case Number | EO-2017240-000143 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | BERVIG FAMILY FOUNDATION - INTERCESSIONS HAITI |
| Organization’s Mailing Address | PO BOX 247 |
| City | OSAGE |
| State | MN |
| ZIP | 56570 |
| Accounting period End | 12 |
| Primary contact name | JENNIFER L BERVIG |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
JENNIFER BERVIG
CHAIRPERSON
707 CROCUS HILL ST E
PARK RAPIDS MN 56470
JOSEPH MULKEY
VICE CHAIRPERSON
415 WILSIE ST
WINONA MN 55987
EZRA OVERLY
TREASURER
54852 STATE HWY 34
OSAGE MN 56570
GRETCHEN MULKEY
SECRETARY
415 WILSIE ST
WINONA MN 55987
TRAVIS GUIDA
DIRECTOR
24250 SHADY RIDGE DR
LAPORTE MN 56461
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/7/2017 |
| Organization Incorporation State | MN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X20 - Christian |
| Organization’s purpose | Charitable: No Religious: Yes 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 | Yes |
| 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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