FORM 1023-EZ for FORTIS CAPITAL

Field Data
EIN 84-2716465
Case Number EO-2019269-000025
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORTIS CAPITAL
Organization’s Mailing Address 1016 HYACINTH AVENUE EAST
City ST PAUL
State MN
ZIP 55106
Accounting period End 12
Primary contact name CHRIS CRUTCHFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN SMITH
PREIDENT
701 WASHINGTON AVENUE N SUITE 111-
MINNEAPOLIS MN 55401

Officer/Director/Trustee Two

JAMES TERRELL
VICE PRESIDENT
701 WASHINGTON AVENUE N SUITE 111-
MINNEAPOLIS MN 55401

Officer/Director/Trustee Three

SHAWN HUCKLEBY
TREASURER
888 CHARLES AVENUE
SAINT PAUL MN 55104

Officer/Director/Trustee Four

CHRISTOPHER CRUTCHFIELD
SECRETARY
1016 HYACINTH AVENUE E
ST PAUL MN 55106

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2019
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S41 - Promotion of Business
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 CHRISTOPHER CRUTCHFIELD
Signature Title SECRETARY
Signature Date 9/24/2019

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