FORM 1023-EZ for MIDWEST ENDOMETRIOSIS ASSOCIATION

Field Data
EIN 82-5183329
Case Number EO-2018128-000778
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIDWEST ENDOMETRIOSIS ASSOCIATION
Organization’s Mailing Address 3005 EAGANDALE PLACE APT 307
City EAGAN
State MN
ZIP 55121-2121
Accounting period End 12
Primary contact name ANNA LUCIA KRUPP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNA LUCIA KRUPP
PRESIDENT
1305 GRAND AVE APT 103
ST PAUL MN 55105-2615

Officer/Director/Trustee Two

RACHAEL KOTTKE
VICE-PRESIDENT
1111 4TH ST SE
MINNEAPOLIS MN 55414-1913

Officer/Director/Trustee Three

TERESA MEUWISSEN
SECRETARY
3005 EAGANDALE PLACE APT 307
EAGAN MN 55121-2121

Officer/Director/Trustee Four

KATE BROCK
VICE-SECRETARY
1510 MCANDREWS ROAD E
BURNSVILLE MN 55337-4165

Organization’s website
Organization’s email MIDWESTENDOASSOCIATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 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 ANNA LUCIA KRUPP
Signature Title PRESIDENT
Signature Date 5/2/18

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