FORM 1023-EZ for HOMELESS WOUNDED WARRIORS-MN

Field Data
EIN 81-2834281
Case Number EO-2016161-000269
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOMELESS WOUNDED WARRIORS-MN
Organization’s Mailing Address 36200 PONDVIEW LANE
City CROSSLAKE
State MN
ZIP 56442
Accounting period End 12
Primary contact name MATHIAS JUSTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEPHEN EISENREICH
CHAIR
36200 PONDVIEW LANE
CROSSLAKE MN 56442

Officer/Director/Trustee Two

RANDY HAAG
VICE CHAIR
22575 KRAUSE STREET
DEERWOOD MN 56444

Officer/Director/Trustee Three

KAREN MILLER
SECRETARY
23464 MAIL ROUTE ROAD
BRAINERD MN 56401

Officer/Director/Trustee Four

CRYSTAL ADDISON
TREASURER
30585 OLSON STREET
PEQUOT LAKES MN 56472

Organization’s website
Organization’s email VVZT013@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 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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