FORM 1023-EZ for MODUS OPERANDI

Field Data
EIN 45-3602025
Case Number EO-2014356-000523
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MODUS OPERANDI
Organization’s Mailing Address 1613 6TH ST SW
City MINOT
State ND
ZIP 58701
Accounting period End 12
Primary contact name TANUEL LOWERY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TANUEL LOWERY
PRESIDENT/CEO/CFO
3 SOUTH MAIN ST 411
MINOT ND 58701

Officer/Director/Trustee Two

AMANDA FRANCIS
VICE PRESIDENT/COO
508 14TH ST NW
MINOT ND 58703

Officer/Director/Trustee Three

KELLY PAUL
COO
606 LINCOLN AVE
MINOT ND 58703

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2011
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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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