FORM 1023-EZ for EXTRACELLULAR MATRIX RESEARCH FOUNDATION

Field Data
EIN 83-3080700
Case Number EO-2019038-000447
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EXTRACELLULAR MATRIX RESEARCH FOUNDATION
Organization’s Mailing Address 5920 LEE VALLEY ROAD
City EDINA
State MN
ZIP 55439
Accounting period End 12
Primary contact name EARL H COHEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NANCY WITOWSKI
CEO/PRESIDENT
5920 LEE VALLEY ROAD
EDINA MN 55439

Officer/Director/Trustee Two

GERALD WITOWSKI
CFO/TREASURER
5920 LEE VALLEY ROAD
EDINA MN 55439

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/19
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G01 - 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 NANCY WITOWSKI
Signature Title CEO/PRESIDENT
Signature Date 1/30/19

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