FORM 1023-EZ for MOMENTS OF MEMORIES

Field Data
EIN 84-5187642
Case Number EO-2020216-000645
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOMENTS OF MEMORIES
Organization’s Mailing Address 11675 REDWOOD ST NW
City COON RAPIDS
State MN
ZIP 55448
Accounting period End 12
Primary contact name AMANDA MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA MILLER
EXECUTIVE DIRECTOR
11675 REDWOOD ST NW
COON RAPIDS MN 55448

Officer/Director/Trustee Two

DEBORAH SQUIRE
DIRECTOR
910 CHESTNUT ST
CELINA OH 45822-1236

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/2020
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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 Yes
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 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 AMANDA MILLER
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/31/2020

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