FORM 1023-EZ for MINNESOTA BUSINESS LEADERSHIP NETWORK

Field Data
EIN 71-0947071
Case Number EO-2014245-000470
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MINNESOTA BUSINESS LEADERSHIP NETWORK
Organization’s Mailing Address 574 PRAIRIE CENTER DRIVE STE 135
City EDEN PRAIRIE
State MN
ZIP 55344
Accounting period End 12
Primary contact name ANN MAECHELEDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANN MAECHELEDT
CHAIR
11935 WATERFORD RD
EDEN PRAIRIE MN 55347

Officer/Director/Trustee Two

LISA STOCK
VICE CHAIR
3320 WALNUT GROVE LANE N
PLYMOUTH MN 55447

Officer/Director/Trustee Three

TONIA SHUPIEN
BOARD MEMBER
710 MEDTRONIC PKWY
MINNEAPOLIS MN 55432

Officer/Director/Trustee Four

ANGELA SHERBURNE
SECRETARY
1 VETERANS DRIVE STE 116A
MINNEAPOLIS MN 55417

Officer/Director/Trustee Five

GEORGE FOLEY
TREASURER
3M CENTER BLDG 225 4N 15
ST PAUL MN 55114

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/2003
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J99 - Employment, Job Related N.E.C.
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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