FORM 1023-EZ for EMPTY BOWLS COOK COUNTY

Field Data
EIN 85-0767368
Case Number EO-2020113-000269
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPTY BOWLS COOK COUNTY
Organization’s Mailing Address 264 E DEERYARD RD
City GRAND MARAIS
State MN
ZIP 55604
Accounting period End 12
Primary contact name P CAMPANARO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA CAMPANARO
DIRECTOR
264 E DEERYARD RD
GRAND MARAIS MN 55604

Officer/Director/Trustee Two

BETH ROGERS KENNEDY
DIRECTOR
812 W 2ND ST
GRAND MARAIS MN 55604

Officer/Director/Trustee Three

ADA IGOE
DIRECTOR
193 ROUND LAKE RD
GRAND MARAIS MN 55604

Officer/Director/Trustee Four

JUDI BARSNESS
DIRECTOR
PO BOX 277
LUTSEN MN 55612

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2020
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PATRICIA CAMPANARO
Signature Title DIRECTOR
Signature Date 4/20/2020

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