FORM 1023-EZ for HOPE FOR THE ELDERLY

Field Data
EIN 47-4461562
Case Number EO-2015190-000381
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOPE FOR THE ELDERLY
Organization’s Mailing Address 1219 50TH ST NE
City BUFFALO
State MN
ZIP 55313
Accounting period End 12
Primary contact name KIMBERLY ONUMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIMBERLY ONUMA
ALL OFFICES HELD
1219 50TH ST NE
BUFFALO MN 55313

Officer/Director/Trustee Two

GLENNA LIETZ
DIRECTOR
5509 KINGS CROSSING
BROOKLYN PARK MN 55443

Officer/Director/Trustee Three

PAUL MUELLERLEILE
DIRECTOR
5509 KINGS CROSSING
BROOKLYN PARK MN 55443

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/2015
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E92 - Home Health Care
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 Yes
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
Signature Title
Signature Date

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