FORM 1023-EZ for BLAINE POLICE FEDERATION

Field Data
EIN 26-4099386
Case Number EO-2016012-000771
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLAINE POLICE FEDERATION
Organization’s Mailing Address 10801 TOWN SQUARE DR NE
City BLAINE
State MN
ZIP 55449
Accounting period End 12
Primary contact name DALE BERNARDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVE MINKEL
PRESIDENT
10801 TOWN SQUARE DR NE
BLAINE MN 55449

Officer/Director/Trustee Two

RUSS CLARK
VICE-PRESIDENT
10801 TOWN SQUARE DR NE
BLAINE MN 55449

Officer/Director/Trustee Three

JOE RAMIREZ
SECRETARY/TREASURER
10801 TOWN SQUARE DR NE
BLAINE MN 55449

Officer/Director/Trustee Four

TOM JOHANN
BOARD MEMBER
10801 TOWN SQUARE DR NE
BLAINE MN 55449

Officer/Director/Trustee Five

DALE BERNARDY
BOARD MEMBER
10801 TOWN SQUARE DR NE
BLAINE MN 55449

Organization’s website N/A
Organization’s email DBERNARDY@CI.BLAINE.MN.US
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/2009
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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
Signature Title
Signature Date

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