FORM 1023-EZ for SHANNON PAULSEN SUITE DREAMS

Field Data
EIN 82-4515241
Case Number EO-2018071-000301
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHANNON PAULSEN SUITE DREAMS
Organization’s Mailing Address 413 E 32ND ST
City HIBBING
State MN
ZIP 55746
Accounting period End 12
Primary contact name JIM PAULSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES PAULSEN
BOARD MEMBER
413 E 32ND ST
HIBBING MN 55746

Officer/Director/Trustee Two

KELLY PERFETTI
BOARD MEMBER
613 E 24TH STREET
HIBBING MN 55746

Officer/Director/Trustee Three

MELISSA THRONSON
BOARD MEMBER
418 6TH AVE NW
CHISHOLM MN 55719

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 JAMES PAULSEN
Signature Title BOARD MEMBER
Signature Date 3/9/18

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