FORM 1023-EZ for HIGH 5 FOUNDATION

Field Data
EIN 46-2614546
Case Number EO-2018190-000233
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIGH 5 FOUNDATION
Organization’s Mailing Address 6102 51ST ST NW
City ROCHESTER
State MN
ZIP 55901
Accounting period End 12
Primary contact name ERIK KAROW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIK KAROW
FOUNDER/PRESIDENT
6102 51ST ST NW
ROCHESTER MN 55901

Officer/Director/Trustee Two

JEFF SPOELSTRA
MARKETING DIRECTOR
3616 21ST AVE NW
ROCHESTER MN 55901

Officer/Director/Trustee Three

COLE MCKEAN
SECRETARY
213 DIVISION ST NE
CHATFIELD MN 55923

Organization’s website WWW.HIGH5FOUNDATION.COM
Organization’s email ERIK.KAROW@HIGH5FOUNDATION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/13
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 ERIK KAROW
Signature Title FOUNDER/PRESIDENT
Signature Date 7/6/18

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