FORM 1023-EZ for PUSH FOR ONE MORE

Field Data
EIN 46-5150963
Case Number EO-2014295-000290
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PUSH FOR ONE MORE
Organization’s Mailing Address 901 ACACIA DRIVE SOUTH
City ANNANDALE
State MN
ZIP 55302
Accounting period End 12
Primary contact name JAMI KNISLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KYLE KNISLEY
PRESIDENT BOARD MEMBER
901 ACACIA DRIVE SOUTH
ANNANDALE MN 55302

Officer/Director/Trustee Two

JAMI KNISLEY
SECRETARY BOARD MEMBER
901 ACACIA DRIVE SOUTH
ANNANDALE MN 55302

Officer/Director/Trustee Three

STEPHANIE WALTERS
VICE PRESIDENT BOARD MEMBER
107 WALNUT COURT
DELANO MN 55328

Officer/Director/Trustee Four

KEVIN JAUNICH
TREASURER BOARD MEMBER
1459 5TH STREET SW
DELANO MN 55328

Officer/Director/Trustee Five

JASON ATKINSON
RESEARCH/ DEVELOPMENT BOARD MEMBE
2411 WEST 110TH STREET
BLOOMINGTON MN 55431

Organization’s website HTTPS://M.FACEBOOK.COM/P41MORE
Organization’s email KNISLEYFAMILY@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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
Signature Title
Signature Date

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