FORM 1023-EZ for FARIBAULT COUNTY VETERANS MEMORIALINC

Field Data
EIN 81-2992835
Case Number EO-2016196-000474
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FARIBAULT COUNTY VETERANS MEMORIALINC
Organization’s Mailing Address 16788 315TH AVE
City GRANADA
State MN
ZIP 56039
Accounting period End 12
Primary contact name JAMES WETZLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES WETZLER
TREASURER
16788 315TH AVE
GRANADA MN 56039

Officer/Director/Trustee Two

TERRY KEITHAHN
PRESIDENT
11547 322ND AVE
BLUE EARTH MN 56013

Officer/Director/Trustee Three

PAMELA KRILL
VICE PRESIDENT
4310 320TH AVE
BLUE EARTH MN 56013

Officer/Director/Trustee Four

AMANDA JASKULKE
SECRETARY
31600 169TH STREET
GRANADA MN 56039

Officer/Director/Trustee Five

RYAN BROMELAND
TRUSTEE
19685 405TH AVE
DELAVAN MN 56023

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/2016
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 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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