FORM 1023-EZ for EPIPHANY DISTRICT
| Field | Data |
|---|---|
| EIN | 38-4116219 |
| Case Number | EO-2019154-000379 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | EPIPHANY DISTRICT |
| Organization’s Mailing Address | 104 E 2ND AVENUE PO BOX 384 |
| City | FLOODWOOD |
| State | MN |
| ZIP | 55736 |
| Accounting period End | 12 |
| Primary contact name | JANE MOODY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SCOTT KROHN
PRESIDENT
2055 MEADOW LN 8
SEWARD NE 68434
Officer/Director/Trustee Two
JANE MOODY
TREASURER
PO BOX 213
LAMBERTON MN 56152
Officer/Director/Trustee Three
DAREN BLANCK
VICE PRESIDENT
PO BOX 2098
TOFTE MN 55615
Officer/Director/Trustee Four
MARTI NALEAN
SECRETARY
1518 C AVE
OGDEN IA 50212
Officer/Director/Trustee Five
JOHN BURGESS
MEMBER AT LARGE
PO BOX 384
FLOODWOOD MN 56736
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/20/02 |
| Organization Incorporation State | MN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: No Religious: Yes 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 BURGESS |
| Signature Title | MEMBER AT LARGE |
| Signature Date | 5/31/19 |
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