FORM 1023-EZ for PACC FOUNDATION INC

Field Data
EIN 82-3850170
Case Number EO-2018038-000294
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PACC FOUNDATION INC
Organization’s Mailing Address 705 SECOND STREET NORTH
City PRINCETON
State MN
ZIP 55371
Accounting period End 12
Primary contact name TAMMY CREASY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYLE WENSMAN
PRESIDENT
1100 7TH AVENUE SOUTH
PRINCETON MN 55371

Officer/Director/Trustee Two

TAMMY CREASY
TREASURER
8594 65TH STREET
PRNCETON MN 55371

Officer/Director/Trustee Three

TIM SIERCKS
DIRECTOR
401 1ST STREET SUITE C
PRINCETON MN 55371

Officer/Director/Trustee Four

DAVID HAUGEN
DIRECTOR
104 S RUM RIVER DRIVE
PRINCETON MN 55371

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/27/17
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S50 - Nonprofit Management
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TAMMY CREASY
Signature Title TREASURER
Signature Date 2/5/18

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