FORM 1023-EZ for FIREFLY FIELDS YOUTH RANCH INC

Field Data
EIN 82-4784424
Case Number EO-2018107-000671
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIREFLY FIELDS YOUTH RANCH INC
Organization’s Mailing Address 35771 COUNTY HIGHWAY 36
City VERGAS
State MN
ZIP 56587-9502
Accounting period End 12
Primary contact name EMILY R MINGO INCORPORATOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EMILY MINGO
PRESIDENT, INCORPORATOR
35771 CO HWY 36
VERGAS MN 56587-9502

Officer/Director/Trustee Two

ALYSSA LECLEIR
SECRETARY
23773 BERGQUIST LANE
DETROIT LAKES MN 56501-7176

Officer/Director/Trustee Three

RICHARD LECLEIR
VICE PRESIDENT
1380 LEGION ROAD
DETROIT LAKES MN 56501-4314

Officer/Director/Trustee Four

SUSAN LECLEIR
ASSISTANT SECRETARY
1380 LEGION ROAD
DETROIT LAKES MN 56501-4314

Officer/Director/Trustee Five

ANITA MYCKE
TREASURER
210 7TH AVENUE SOUTHEAST
PERHAM MN 56573-1900

Organization’s website
Organization’s email FIREFLYFIELDSYOUTHRANCH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 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 EMILY MINGO
Signature Title PRESIDENT, INCORPORATOR
Signature Date 3/27/18

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