FORM 1023-EZ for SIBLEY COUNTY CANCER FIGHTERS INC

Field Data
EIN 84-2085488
Case Number EO-2019169-000328
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SIBLEY COUNTY CANCER FIGHTERS INC
Organization’s Mailing Address 454 DIVISION ST
City GAYLORD
State MN
ZIP 55334
Accounting period End 12
Primary contact name RONALD J ANDERLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERI ODENTHAL
PRESIDENT
25267 585TH AVE
WINTHROP MN 55396

Officer/Director/Trustee Two

CAROL POOCK
V PRESIDENT
454 DIVISION ST
GAYLORD MN 55334

Officer/Director/Trustee Three

JUSTIN SUNDMANN
TREASUER
410 MAIN AVE EAST
GAYLORD MN 55334

Officer/Director/Trustee Four

SARAH ANDERSON
SECRETARY
23017 511TH AVE
WINTHROP MN 55396

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/19
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 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 JERI ODENTHAL
Signature Title PRESIDENT
Signature Date 6/13/19

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