FORM 1023-EZ for FASD SPEAKS INC

Field Data
EIN 47-2297686
Case Number EO-2015173-000288
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FASD SPEAKS INC
Organization’s Mailing Address 3121 PILLSBURY AVE S APT 2201
City MINNEAPOLIS
State MN
ZIP 55408
Accounting period End 12
Primary contact name JENNIFER URBAN - CAF NO 0308-14263R
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHARLES HAIRE
PRESIDENT
3121 PILLSBURY AVE S APT 2201
MINNEAPOLIS MN 55408

Officer/Director/Trustee Two

MARY KNUDSEN
SECRETARY
3701 GARFIELD AVE S APT 100
MINNEAPOLIS MN 55409

Officer/Director/Trustee Three

CHARLES VOGEL
TREASURER
3326 NICOLLET AVE S APT 209
MINNEAPOLIS MN 55408

Organization’s website HTTP://FASDSPEAKS.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/11/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G20 - Birth Defects and Genetic Diseases
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 No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
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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