FORM 1023-EZ for WAITE PARK SENIOR CENTER CORPORATION

Field Data
EIN 82-3256447
Case Number EO-2017306-000269
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WAITE PARK SENIOR CENTER CORPORATION
Organization’s Mailing Address 19 13TH AVENUE NORTH
City WAITE PARK
State MN
ZIP 56387
Accounting period End 12
Primary contact name ALICIA MAGES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALICIA MAGES
OFFICER
19 13TH AVENUE NORTH
WAITE PARK MN 56387

Officer/Director/Trustee Two

SALLIE HABEDANK
DIRECTOR
19 13TH AVENUE NORTH
WAITE PARK MN 56387-1066

Officer/Director/Trustee Three

SHAUNNA JOHNSON
DIRECTOR
19 13TH AVENUE NORTH
WAITE PARK MN 56387

Officer/Director/Trustee Four

GORDON HANSMEIER
DIRECTOR
1550 95TH AVENUE NE
SAUK RAPIDS MN 56379

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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
Signature Title
Signature Date

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