FORM 1023-EZ for JON ARFSTROM FOUNDATION

Field Data
EIN 82-3997733
Case Number EO-2018078-000441
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JON ARFSTROM FOUNDATION
Organization’s Mailing Address 88 MADISON ST
City ANOKA
State MN
ZIP 55303
Accounting period End 12
Primary contact name JOY WOLFE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NORMA ARFSTROM
CHAIR
88 MADISON ST
ANOKA MN 55303

Officer/Director/Trustee Two

TORY FERREY
TREASURER
5262 E COUNTY LINE ROAD N
WHITE BEAR LAKE MN 55110

Officer/Director/Trustee Three

REBECCA MAVENCAMP
SECRETARY
2135 THIRD AVE N
ANOKA MN 55303

Officer/Director/Trustee Four

JOY WOLFE
EXECUTIVE DIRECTOR
9190 BRAXTON DRIVE
EDEN PRAIRIE MN 55347

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities 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 JOY WOLFE
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/16/18

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