FORM 1023-EZ for THE RYAN MATHIS FOUNDATION

Field Data
EIN 83-2069788
Case Number EO-2018276-000216
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE RYAN MATHIS FOUNDATION
Organization’s Mailing Address 7000 HWY 65 NE
City FRIDLEY
State MN
ZIP 55432
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

DAN MEUERS
PRESIDENT + DIRECTOR
11261 HALSTAD TRAIL
WOODBURY MN 55129

Officer/Director/Trustee Two

PATRICIA MEUERS
TREASURER + DIRECTOR
11261 HALSTAD TRAIL
WOODBURY MN 55330

Officer/Director/Trustee Three

LAUREN MATHIS
SECRETARY + DIRECTOR
11261 HALSTAD TRAIL
WOODBURY MN 55432

Officer/Director/Trustee Four

WILL COBBS
DIRECTOR
1203 N 7TH ST
LINCOLN NE 68508

Officer/Director/Trustee Five

JULIA COBBS
DIRECTOR
3444 JULIET DR
WOODBURY MN 55125

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - 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 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 PATRICIA MEUERS
Signature Title TREASURER + DIRECTOR
Signature Date 10/1/18

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