FORM 1023-EZ for QUINNESSENTIALS

Field Data
EIN 83-2076074
Case Number EO-2018277-000160
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUINNESSENTIALS
Organization’s Mailing Address 14925 ENERGY WAY
City APPLE VALLEY
State MN
ZIP 55124
Accounting period End 12
Primary contact name JENNIFER URBAN - CAF 0308-14263R
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAUREN NEUGEBAUER
PRESIDENT + DIRECTOR
16637 DYNAMIC DR
LAKEVILLE MN 55044

Officer/Director/Trustee Two

SHAWN NEUGEBAUER
VICE PRESIDENT + DIRECTOR
16637 DYNAMIC DR
LAKEVILLE MN 55044

Officer/Director/Trustee Three

MAGGIE KELLY
SECRETARY + DIRECTOR
2122 JULIET AVE
ST PAUL MN 55105

Officer/Director/Trustee Four

RYAN MCCORMICK
TREASURER + DIRECTOR
5518 EDGEWATER DR
SAVAGE MN 55378

Officer/Director/Trustee Five

SUE MCCORMICK
DIRECTOR
16611 EAST LAKE DR
LAKEVILLE MN 55044

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 Yes
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 LAUREN NEUGEBAUER
Signature Title PRESIDENT + DIRECTOR
Signature Date 10/2/18

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