FORM 1023-EZ for LITTLE WINGS OF SOUTHERN MINNESOTA INC

Field Data
EIN 82-0672444
Case Number EO-2017072-000448
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LITTLE WINGS OF SOUTHERN MINNESOTA INC
Organization’s Mailing Address 42158 170TH STREET
City DELAVAN
State MN
ZIP 56023
Accounting period End 12
Primary contact name MATTHEW HOPPE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW HOPPE
PRESIDENT
42158 170TH STREET
DELAVAN MN 56023

Officer/Director/Trustee Two

JAY JOHNSON
VICE PRESIDENT
10740 435TH AVENUE
BLUE EARTH MN 56013

Officer/Director/Trustee Three

PAUL KAFKA
SECRETARY
218 W 1ST STREET
BLUE EARTH MN 56013

Officer/Director/Trustee Four

HAILEY DEPUYDT
TREASURER
42158 170TH STREET
DELAVAN MN 56023

Officer/Director/Trustee Five

DOUG HILL
ASSISTANT TREASURER
16292 345TH AVENUE
WINNEBAGO MN 56098

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 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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