FORM 1023-EZ for DON HALL MEMORIAL CORPORATION

Field Data
EIN 84-2234520
Case Number EO-2019182-000515
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DON HALL MEMORIAL CORPORATION
Organization’s Mailing Address 22240 OAK RIDGE DRIVE
City ROGERS
State MN
ZIP 55374
Accounting period End 12
Primary contact name KRIS HALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRIS HALL
PRESIDENT
22240 OAK RIDGE DRIVE
ROGERS MN 55374

Officer/Director/Trustee Two

COLLEEN SELLY
TREASURER
7585 WOODLAND TRAIL
ROCKFORD MN 55373

Officer/Director/Trustee Three

MARCEY POTTER
VICE PRESIDENT/SECRETARY
13800 HEMLOCK LANE N
DAYTON MN 55327

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/19
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - Fund Raising and/or Fund Distribution
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KRIS HALL
Signature Title PRESIDENT
Signature Date 6/27/19

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