FORM 1023-EZ for MINNESOTA LEADERSHIP COUNCIL ON AGING

Field Data
EIN 47-3146194
Case Number EO-2015089-000331
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MINNESOTA LEADERSHIP COUNCIL ON AGING
Organization’s Mailing Address 2365 NORTH MCKNIGHT ROAD
City NORTH ST. PAUL
State MN
ZIP 55109
Accounting period End 6
Primary contact name MARY LENARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JERI SCHOONOVER
CHIEF STRATEGY OFFICER
2485 COMO AVE
ST PAUL MN 55108

Officer/Director/Trustee Two

BOBBI CORDANO
EXECUTIVE DIRECTOR
451 LEXINGTON AVE N
ST PAUL MN 55401

Officer/Director/Trustee Three

PATTI CULLEN
PRESIDENT/CEO
7851 METRO PARKWAY
BLOOMINGTON MN 55425

Officer/Director/Trustee Four

GAYLE KVENVOLD
PRESIDENT/CEO
2550 UNIVERSITY AVE W SUITE 350
ST. PAUL MN 55114

Officer/Director/Trustee Five

DAWN SIMONSON
EXECUTIVE DIRECTOR
2365 N MCKNIGHT ROAD
NORTH ST PAUL MN 55109

Organization’s website WWW.MNLCOA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/2015
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - 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 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 Yes
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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