FORM 1023-EZ for COMMUNITY TABLE INC

Field Data
EIN 84-3279532
Case Number EO-2020037-000171
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY TABLE INC
Organization’s Mailing Address 21428 152ND ST NW
City ELK RIVER
State MN
ZIP 55330
Accounting period End 12
Primary contact name AMY ERICKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRADLEY ERICKSON
CHAIRMAN
21428 152ND ST NW
ELK RIVER MN 55330

Officer/Director/Trustee Two

MICHAELA LANGLAIS
TREASURER
21428 152ND ST NW
ELK RIVER MN 55330

Officer/Director/Trustee Three

JENNIFER GREEN
SECRETARY
21428 152ND ST NW
ELK RIVER MN 55330

Officer/Director/Trustee Four

AMY ERICKSON
OFFICER
21428 152ND ST NW
ELK RIVER MN 55330

Officer/Director/Trustee Five

BAILEY GERDES
OFFICER
21428 152ND
ELK RIVER MN 55330

Organization’s website COMMUNITY-TABLE.COM
Organization’s email COMMUNITYTABLEMN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2019
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 AMY ERICKSON
Signature Title OFFICER
Signature Date 2/4/2020

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