FORM 1023-EZ for MADISON ART GALLERY

Field Data
EIN 86-2300115
Case Number EO-2021093-000114
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MADISON ART GALLERY
Organization’s Mailing Address 521 2ND AVE
City MADISON
State MN
ZIP 56256
Accounting period End 12
Primary contact name KRISTINE L SHELSTAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTINE SHELSTAD
DIRECTOR
521 2ND AVE
MADISON MN 56256

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2021
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A51 - Art Museums
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KRISTINE SHELSTAD
Signature Title DIRECTOR
Signature Date 2/26/2021

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