FORM 1023-EZ for HOLBROOK FARMS RETREAT INC

Field Data
EIN 47-1431994
Case Number EO-2014245-000473
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOLBROOK FARMS RETREAT INC
Organization’s Mailing Address 51383 BUCKS MILL ROAD
City DETROIT LAKES
State MN
ZIP 56501
Accounting period End 12
Primary contact name MICAELA BRANCATO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICAELA BRANCATO
PRESIDENT
51383 BUCKS MILL ROAD
DETROIT LAKES MN 56501

Officer/Director/Trustee Two

SARAH MERWIN
VICE PRESIDENT
1813 SPRING SUMMIT LANE
LAS VEGAS NV 89134

Officer/Director/Trustee Three

MELISSA LORENTZ
SECRETARY
1397 LONG LAKE DRIVE
DETROIT LAKES MN 56501

Officer/Director/Trustee Four

MATTHEW BRANCATO
TREASURER
51383 BUCKS MILL ROAD
DETROIT LAKES MN 56501

Organization’s website WWW.HOLBROOKFARMSMN.COM
Organization’s email HOLBROOKFARMSMN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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 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
Signature Title
Signature Date

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