FORM 1023-EZ for CHARLEIGHS HALOS NONPROFIT

Field Data
EIN 84-4446038
Case Number EO-2020034-000201
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHARLEIGHS HALOS NONPROFIT
Organization’s Mailing Address 12481 JARVIS AVE NW
City ANNANDALE
State MN
ZIP 55302
Accounting period End 12
Primary contact name DANIELLE LEFEBVRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIELLE LEFEBVRE
CEO
12481 JARVIS AVE NW
ANNANDALE MN 55302

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2020
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DANIELLE LEFEBVRE
Signature Title CEO
Signature Date 1/30/2020

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