FORM 1023-EZ for SCANDIA HERITAGE ALLIANCE

Field Data
EIN 83-1575163
Case Number EO-2019036-000766
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SCANDIA HERITAGE ALLIANCE
Organization’s Mailing Address PO BOX 159
City SCANDIA
State MN
ZIP 55073
Accounting period End 12
Primary contact name SUSAN RODSJO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN RODSJO
CHAIR
21450 POMROY AVENUE NORTH
SCANDIA MN 55073

Officer/Director/Trustee Two

SARAH PORUBCANSKY
VICE CHAIR
19690 ORWELL AVENUE NORTH
SCANDIA MN 55047

Officer/Director/Trustee Three

PAMELA PLOWMAN SMITH
TREASURER
20919 QUINT AVENUE NORTH
SCANDIA MN 55073

Officer/Director/Trustee Four

CHRISTINE MAEFSKY
SECRETARY
12521 MAYBERRY TRAIL NORTH
SCANDIA MN 55073

Officer/Director/Trustee Five

LEILA DENECKE
BOARD MEMBER AT LARGE
21777 QUARRY AVENUE NORTH
SCANDIA MN 55073

Organization’s website
Organization’s email SCANDIAHERITAGEALLIANCE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SUSAN RODSJO
Signature Title CHAIR
Signature Date 1/23/19

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