FORM 1023-EZ for THE ISAAC INITIATIVE INC

Field Data
EIN 82-1037030
Case Number EO-2017160-000169
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE ISAAC INITIATIVE INC
Organization’s Mailing Address 4138 LEXINGTON AVENUE N
City SHOREVIEW
State MN
ZIP 55126
Accounting period End 12
Primary contact name JOSEPH YETMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH YETMAN
PRESIDENT
4138 LEXINGTON AVE N APT 3206
SHOREVIEW MN 55126

Officer/Director/Trustee Two

ADAM PETERSON
TREASURER
1652 9TH STREET APT 203
WHITE BEAR LAKE MN 55110

Officer/Director/Trustee Three

MARK MARTINDALE
VICE PRESIDENT
10493 182ND AVE NW
ELK RIVER MN 55330

Officer/Director/Trustee Four

AMY JO SPINNER
BOARD MEMBER
14743 30TH STREET
CLEAR LAKE MN 55319

Officer/Director/Trustee Five

SUSAN GRAHAM
BOARD MEMBER
1234 SUNNY LANE
ANOKA MN 55303

Organization’s website ISAAACINITIATIVE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family 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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