FORM 1023-EZ for THE EXCHANGE COOPERATIVE

Field Data
EIN 81-3510022
Case Number EO-2016231-000322
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE EXCHANGE COOPERATIVE
Organization’s Mailing Address 2823 5TH AVE NW
City ROCHESTER
State MN
ZIP 55901
Accounting period End 12
Primary contact name DENNIS AHLERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK BEERNINK
CHAIR
971 16TH ST E
ROCHESTER MN 55904

Officer/Director/Trustee Two

JOHN SIKKINK
TREASURER
7900 131ST ST
APPLE VALLEY MN 55124

Officer/Director/Trustee Three

BRENDA BEERNINK
SECRETARY
601 25TH ST SW
ROCHESTER MN 55902

Officer/Director/Trustee Four

JOSHUA JOHNSON
EXECUTIVE DIRECTOR
2823 15TH AVE NW
ROCHESTER MN 55901

Officer/Director/Trustee Five

DENNIS AHLERS
ATTORNEY/ BOARD
2411 E 114TH ST
BURNSVILLE MN 55337

Organization’s website WWW.EXCHANGECO-OP.ORG
Organization’s email NIKKI@EXCHANGECO-OP.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 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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