FORM 1023-EZ for ELDER VOICE FAMILY ADVOCATES

Field Data
EIN 82-1890231
Case Number EO-2017296-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELDER VOICE FAMILY ADVOCATES
Organization’s Mailing Address 8519 AMSDEN ROAD
City BLOOMINGTON
State MN
ZIP 55438
Accounting period End 12
Primary contact name SUZANNE SCHELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTINE SUNDBERG
PRESIDENT
5770 MARSH POINTE DRIVE
SHOREWOOD MN 55331

Officer/Director/Trustee Two

JEAN PETERS
VICE PRESIDENT
8519 AMSDEN ROAD
BLOOMINGTON MN 55438

Officer/Director/Trustee Three

ANNE STERNER
SECRETARY
5225 JAMES AVENUE SOUTH
MINNEAPOLIS MN 55419

Officer/Director/Trustee Four

KAY BROMELKAMP
TREASURER
4705 FREMONT AVENUE SOUTH
MINNEAPOLIS MN 55419

Organization’s website WWW.ELDERVOICEFAMILYADVOCATES.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - Alliance/Advocacy Organizations
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 Yes
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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