FORM 1023-EZ for CAELS ANGELS ASSOCIATION

Field Data
EIN 47-1341446
Case Number EO-2014297-000509
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAELS ANGELS ASSOCIATION
Organization’s Mailing Address 7628 GREENFIELD AVE
City MOUNDS VIEW
State MN
ZIP 55112-4020
Accounting period End 12
Primary contact name JAMES SIGMUNDIK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES SIGMUNDIK
INCORPORATOR CEO
7628 GREENFIELD AVE
MOUNDS VIEW MN 55112-4020

Officer/Director/Trustee Two

BRITTANY SIGMUNDIK
INCORPORATOR CFO
7628 GREENFIELD AVE
MOUNDS VIEW MN 55112-4020

Officer/Director/Trustee Three

JENNIFER PALM
COO
9930 PALM ST
COON RAPIDS MN 55433-5133

Organization’s website WWW.CAELSANGELS.ORG
Organization’s email CAELSANGELS@MSN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/2014
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: Yes
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 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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