FORM 1023-EZ for APPLE VALLEY SPEECH AND DEBATE ALUMNI FOUNDATION

Field Data
EIN 82-3003078
Case Number EO-2018145-000605
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name APPLE VALLEY SPEECH AND DEBATE ALUMNI FOUNDATION
Organization’s Mailing Address 16240 GODSON DRIVE
City LAKEVILLE
State MN
ZIP 55044
Accounting period End 12
Primary contact name CHRISTOPHER THEIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER THEIS
DIRECTOR
2741 N SHEFFIELD AVE APT 3N
CHICAGO IL 60614

Officer/Director/Trustee Two

DOUG ANDERSON
DIRECTOR
47 EMERALD ST
MEDFORD MA 2155

Officer/Director/Trustee Three

MICHELLE KEOHANE
DIRECTOR
45 RAYMOND ST
BOSTON MA 2134

Officer/Director/Trustee Four

COLIN GOODSON
DIRECTOR
16240 GODSON DRIVE
LAKEVILLE MN 55044

Officer/Director/Trustee Five

LINDSEY ANDERSON
DIRECTOR
1781 S CAMPTON APT 124
ANAHEIM CA 92805

Organization’s website AVSPEECHANDDEBATE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/17
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Benefit of College Yes
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHRISTOPHER THEIS
Signature Title DIRECTOR
Signature Date 5/23/18

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