FORM 1023-EZ for ST CROIX FOOD SHELF

Field Data
EIN 87-2007338
Case Number EO-2021218-000287
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ST CROIX FOOD SHELF
Organization’s Mailing Address PO BOX 458
City ST CROIX FALLS
State WI
ZIP 54024
Accounting period End 12
Primary contact name SHARON ASP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARON ASP
PRESIDENT
201 S ADAMS ST 101
ST CROIX FALLS WI 54024

Officer/Director/Trustee Two

SHARON MCQUILLAN
VICE PRESIDENT
201 S ADAMS ST 201
ST CROIX FALLS WI 54024

Officer/Director/Trustee Three

JEFF MEISTER
SECRETARY
2550 OTTERSLIDE AVE
ST CROIX FALLS WI 54024

Officer/Director/Trustee Four

KRISTEN OLSEN
TREASURER
29960 GLADER BLVD
LINDSTROM MN 55045

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/2021
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHARON ASP
Signature Title PRESIDENT
Signature Date 8/4/2021

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