FORM 1023-EZ for UFCW 1189 RELIEF FUND
| Field | Data |
|---|---|
| EIN | 85-3605837 |
| Case Number | EO-2021062-000514 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | UFCW 1189 RELIEF FUND |
| Organization’s Mailing Address | 266 HARDMAN AVE N |
| City | SOUTH SAINT PAUL |
| State | MP |
| ZIP | 55075-2420 |
| Accounting period End | 12 |
| Primary contact name | ERICH JS HARTMANN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JENNIFER CHRISTENSEN
PRESIDENT
266 HARDMAN AVE N
SOUTH SAINT PAUL MN 55075-2420
Officer/Director/Trustee Two
JIM GLEB
TREASURER
266 HARDMAN AVE N
SOUTH SAINT PAUL MN 55075-2420
Officer/Director/Trustee Three
MIKE DRYER
DIRECTOR
266 HARDMAN AVE N
SOUTH SAINT PAUL MN 55075-2420
Officer/Director/Trustee Four
BRUCE BERGH
DIRECTOR
266 HARDMAN AVE N
SOUTH SAINT PAUL MN 55075-2420
Officer/Director/Trustee Five
JAMES WESTIN
DIRECTOR
266 HARDMAN AVE N
SOUTH SAINT PAUL MN 55075-2420
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/20/2020 |
| Organization Incorporation State | MN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P60 - Emergency Assistance (Food, Clothing, Cash) |
| 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 | Yes |
| 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 | Yes |
| 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 | JENNIFER CHRISTENSEN |
| Signature Title | PRESIDENT |
| Signature Date | 12/28/2020 |
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