FORM 1023-EZ for GROWING HOME

Field Data
EIN 36-4798224
Case Number EO-2014340-000244
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GROWING HOME
Organization’s Mailing Address 2100 CAMPUS DRIVE
City ROCHESTER
State MN
ZIP 55904
Accounting period End 12
Primary contact name JAMES BEHRENDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERIN MEIER
PRESIDENT
2100 CAMPUS DR
ROCHESTER MN 55904

Officer/Director/Trustee Two

RICK KLUN
TREASURER
2100 CAMPUS DR
ROCHESTER MN 55904

Officer/Director/Trustee Three

BRAD SMITH
VICE PRESIDENT
2100 CAMPUS DR
ROCHESTER MN 55904

Officer/Director/Trustee Four

TIFFINI WHITING
SECRETARY
2100 CAMPUS DR
ROCHESTER MN 55904

Officer/Director/Trustee Five

GORDY ZIEBART
MEMBER
2100 CAMPUS DR
ROCHESTER MN 55904

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J22 - Vocational Training
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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