FORM 1023-EZ for CANNON FALLS AMBULANCE SUPPORT TEAM

Field Data
EIN 82-4684717
Case Number EO-2018106-001212
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CANNON FALLS AMBULANCE SUPPORT TEAM
Organization’s Mailing Address 918 RIVER ROAD
City CANNON FALLS
State MN
ZIP 55009-1447
Accounting period End 12
Primary contact name TIM MALCHOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIM MALCHOW
MR
918 RIVER RD
CANNON FALLS MN 55009-1447

Officer/Director/Trustee Two

JOHN FOX
VICE PRESIDENT
918 RIVER RD
CANNON FALLS MN 55009-1447

Officer/Director/Trustee Three

SULO KYYRA
TREASURER
918 RIVER RD
CANNON FALLS MN 55009-1447

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 TIM MALCHOW
Signature Title MR
Signature Date 4/13/18

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