FORM 1023-EZ for MINNESOTA ASSOCIATION OF REHABILITATION PROVIDERS

Field Data
EIN 41-1483830
Case Number EO-2015139-000124
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MINNESOTA ASSOCIATION OF REHABILITATION PROVIDERS
Organization’s Mailing Address 406 CROSS STREET
City NORTH MANKATO
State MN
ZIP 56003
Accounting period End 12
Primary contact name TERRY HENRICKSEN TREASURER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN O LOUGHLIN
PRESIDENT
406 CROSS STREET
NORTH MANKATO MN 56003

Officer/Director/Trustee Two

TERRY HENRICKSEN
TREASURER
406 CROSS STREET
NORTH MANKATO MN 56003

Officer/Director/Trustee Three

KRISTI CARRINGTON
SECRETARY
406 CROSS STREET
NORTH MANKATO MN 56003

Officer/Director/Trustee Four

AUDREY SCHLONG
PAST PRESIDENT
406 CROSS STREET
NORTH MANKATO MN 56003

Organization’s website WWW.MARPONLINE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/1983
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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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