FORM 1023-EZ for NEW FLAVORS

Field Data
EIN 81-5144930
Case Number EO-2018299-000238
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW FLAVORS
Organization’s Mailing Address 600 DEMERS AVENUE 406A
City GRAND FORKS
State ND
ZIP 58201
Accounting period End 12
Primary contact name PETE HAGA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETE HAGA
PRESIDENT/SECRETARY
3892 SOUTH 17TH STREET
GRAND FORKS ND 58201

Officer/Director/Trustee Two

CYNTHIA SHABB
VICE PRESIDENT
2418 WEST FALLCREEK COURT
GRAND FORKS ND 58201

Officer/Director/Trustee Three

BARRY WILFARHT
TREASURER
3801 SOUTH 11TH STREET A
GRAND FORKS ND 58203

Officer/Director/Trustee Four

MATT WALKOWIAK
DIRECTOR
4649 HOMESTEAD CIRCLE
GRAND FORKS ND 58201

Officer/Director/Trustee Five

ILHAAM HASSAN
DIRECTOR
410 17TH STREET NORTHWEST
EAST GRAND FORKS MN 56721

Organization’s website NEWFLAVORS.ORG
Organization’s email FOODTRUCK@NEWFLAVORS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/16
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PETE HAGA
Signature Title PRESIDENT/SECRETARY
Signature Date 10/24/18

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