FORM 1023-EZ for TRADITIONALLY HEALTHY FOUNDATION
| Field | Data |
|---|---|
| EIN | 84-4004069 |
| Case Number | EO-2019353-000312 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | TRADITIONALLY HEALTHY FOUNDATION |
| Organization’s Mailing Address | 2825 JOHNSON STREET NE |
| City | MINNEAPOLIS |
| State | MN |
| ZIP | 55418 |
| Accounting period End | 12 |
| Primary contact name | DAVIS SENSEMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ROBERT TUPA
BOARD MEMBER
9744 WOODRIDGE DRIVE
EDEN PRAIRIE MN 55447
Officer/Director/Trustee Two
CARRIE CLARK
PRESIDENT
3948 W 50TH ST SUITE 203
EDINA MN 55424
Officer/Director/Trustee Three
MARY BETH MINSER
TREASURER
8417 WHITE OAK RD
ST CLOUD MN 56301
Officer/Director/Trustee Four
TIM LESTER
SECRETARY
4816 W 102ND ST
BLOOMINGTON MN 55437
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/17/2019 |
| Organization Incorporation State | MN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E60 - Health Support Services |
| 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 | CARRIE CLARK |
| Signature Title | PRESIDENT |
| Signature Date | 12/17/2019 |
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