FORM 1023-EZ for ANOKA COUNTY CHILD ABUSE PREVENTIONCOUNCIL

Field Data
EIN 46-5729991
Case Number EO-2015082-000348
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANOKA COUNTY CHILD ABUSE PREVENTIONCOUNCIL
Organization’s Mailing Address 2100 THIRD AVENUE SUITE 500
City ANOKA
State MN
ZIP 55303
Accounting period End 12
Primary contact name KIM VERBRUGGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONNA MCDONALD
CO CHAIR
2100 THIRD AVE SUITE 600
ANOKA MN 55303

Officer/Director/Trustee Two

GOODY VOKOVAN
CO CHAIR
2100 THIRD AVE SUITE 500
ANOKA MN 55303

Officer/Director/Trustee Three

KIM VERBRUGGE
TREASURER
2100 THIRD AVE SUITE 500
ANOKA MN 55303

Organization’s website WWW.VIOLENCEFREEANOKACOUNTY.ORG
Organization’s email KIM.VERBRUGGE@CO.ANOKA.MN.US
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F02 - Management & Technical Assistance
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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