FORM 1023-EZ for UNSOUTHERN LIGHTS FOUNDATION

Field Data
EIN 81-4380715
Case Number EO-2019036-000538
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNSOUTHERN LIGHTS FOUNDATION
Organization’s Mailing Address 2415 ANNAPOLIS LANE SUITE 110
City MINNEAPOLIS
State MN
ZIP 55451
Accounting period End 12
Primary contact name JENNIFER URBAN - CAF 0308-14263R
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WENDY VOLKMAN
PRESIDENT + DIRECTOR
3929 VINCENT AVENUE SOUTH
MINNEAPOLIS MN 55410

Officer/Director/Trustee Two

JOHN BAXTER
TREASURER/SECRETARY + DIRECTOR
2415 ANNAPOLIS LANE SUITE 110
MINNEAPOLIS MN 55451

Officer/Director/Trustee Three

JACK GILLESPIE
DIRECTOR
4508 MARIGOLD AVENUE NORTH
BROOKLYN PARK MN 55443

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/16
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 JOHN BAXTER
Signature Title TREASURER/SECRETARY + DIRECTOR
Signature Date 1/18/19

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