FORM 1023-EZ for PETERS MEMORIAL FUND

Field Data
EIN 84-2008394
Case Number EO-2020195-000244
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PETERS MEMORIAL FUND
Organization’s Mailing Address 321 S GARDEN ST
City LAKE CITY
State MN
ZIP 55041
Accounting period End 12
Primary contact name KATIE RAWLINGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TREVOR NARUM
TREASURER
321 S GARDEN ST
LAKE CITY MN 55041

Officer/Director/Trustee Two

KATIE CHRISTENSEN
CO-PRESIDENT
957 HIDDEN MEADOW LANE
LAKE CITY MN 55041

Officer/Director/Trustee Three

KATIE RAWLINGS
CO-PRESIDENT
25 EMERALD LAKE COURT
LAKE CITY MN 55041

Organization’s website
Organization’s email PETERSMEMORIALFUND@GMAIL.COM
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 5/25/2018
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift Distribution
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 KATIE RAWLINGS
Signature Title CO-PRESIDENT
Signature Date 6/8/2020

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