FORM 1023-EZ for PAYNESVILLE AREA CHARITY FUND

Field Data
EIN 41-1786636
Case Number EO-2020030-000234
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAYNESVILLE AREA CHARITY FUND
Organization’s Mailing Address PO BOX 112
City PAYNESVILLE
State MN
ZIP 56362
Accounting period End 6
Primary contact name SHELLI BAST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHELLI BAST
TREASURER
PO BOX 112
PAYNESVILLE MN 56362

Officer/Director/Trustee Two

MICHELE MOHR
SECRETARY
PO BOX 112
PAYNESVILLE MN 56362

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/29/1993
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - 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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHELLI BAST
Signature Title TREASURER
Signature Date 1/28/2020

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