FORM 1023-EZ for TRANSFORMATIVE CIRCLE

Field Data
EIN 81-3512930
Case Number EO-2017083-000059
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRANSFORMATIVE CIRCLE
Organization’s Mailing Address 12016 POPPY ST NW
City COON RAPIDS
State MN
ZIP 55433
Accounting period End 6
Primary contact name LORI M ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORI ANDERSON
CHAIR
12016 POPPY ST NW
COON RAPIDS MN 55433

Officer/Director/Trustee Two

BETSY KIEKHAFER
VICE CHAIR
12772 SWALLOW ST NW
COON RAPIDS MN 55433

Officer/Director/Trustee Three

DIANE HANSON
SECRETARY
12100 KILLDEER ST NW / 503
COON RAPIDS MN 55433

Officer/Director/Trustee Four

SANDRA MCANANY
TREASURER
10464 HOLLYWOOD BLVD NW
COON RAPIDS MN 55433

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/2015
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - Alliance/Advocacy Organizations
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 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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