FORM 1023-EZ for AS ONE FAMILY

Field Data
EIN 47-4850102
Case Number EO-2019290-000276
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AS ONE FAMILY
Organization’s Mailing Address 5341 MORGAN AVE N
City BROOKLYN PARK
State MN
ZIP 55430
Accounting period End 12
Primary contact name CHRISTOPHER CRUTCHFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GEORGE DIXON
PREIDENT
5341 MORGAN AVE N
BROOKLYN PARK MN 55430

Officer/Director/Trustee Two

ALAIENA CHARLTON
VICE PRESIDENT
5341 MORGAN AVE N
BROOKLYN PARK MN 55430

Officer/Director/Trustee Three

CHRISTOPHER CRUTCHFIELD
SECRETARY
1016 HYACINTH AVENUE E
SAINT PAUL MN 55106

Officer/Director/Trustee Four

HANEEF MUBARAK
TREASURER
111 64 1/2 WAY
FRIDLEY MN 55432

Organization’s website
Organization’s email EDWARDDIXON651@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/15
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name GEORGE DIXON
Signature Title PREIDENT
Signature Date 10/15/19
EIN 47-4850102
Case Number EO-2015237-000115
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AS ONE FAMILY
Organization’s Mailing Address 5341 MORGAN AVE N
City MINNEAPOLIS
State MN
ZIP 55430
Accounting period End 12
Primary contact name CHRIS CRUTCHFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GEORGE DIXON
PRESIDENT
5341 MORGAN AVE N
MINNEAPOLIS MN 55430

Officer/Director/Trustee Two

JAMIN COOK
VICE PRESIDENT
691 EAST 143RD STREET
BURNSVILLE MN 55337

Officer/Director/Trustee Three

LA CHELLE HUSON
TREASURER
3227 VINCENT AVENUE NORTH
MINNEAPOLIS MN 55412

Officer/Director/Trustee Four

CYNTHIA GROSS
SECRETARY
5705 QUEBEC AVENUE NORTH
NEW HOPE MN 55428

Officer/Director/Trustee Five

KARINA DIXON
MEMBER
5431 IRVING AVENUE NORTH
MINNEAPOLIS

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/2015
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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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