FORM 1023-EZ for NO 1 LADIES ADVOCACY AGENCY

Field Data
EIN 83-2738311
Case Number EO-2020132-000418
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NO 1 LADIES ADVOCACY AGENCY
Organization’s Mailing Address 516 BELTRAMI AVE NW
City BEMIDJI
State MN
ZIP 56601
Accounting period End 12
Primary contact name KERRY HICKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY LINDAHL
CHAIR PERSON
3005 SAINT ONGE DR NE
BEMIDJI MN 56601

Officer/Director/Trustee Two

SARA COLLINS
SECRETARY/TREASURER
415 4TH ST SE
BEMIDJI MN 56601

Officer/Director/Trustee Three

KERRY HICKS
BOARD MEMBER
1227 NORTON AVE NE
BEMIDJI MN 56601

Officer/Director/Trustee Four

TAMIKA-JO ANDY
BOARD MEMBER
1214 1ST ST E APT B
BEMIDJI MN 56601

Organization’s website ADVOCACYAGENCY.WIXSITE.COM/ADVOCACYAGENCY
Organization’s email NUMBERONELADIESAGENCY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2015
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 AMY LINDAHL
Signature Title CHAIR PERSON
Signature Date 5/8/2020

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