FORM 1023-EZ for POOTERS PEEPS-THE NICOLE POOTER BURNHAM LEGACY FOUNDATION

Field Data
EIN 83-2165890
Case Number EO-2018285-000209
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POOTERS PEEPS-THE NICOLE POOTER BURNHAM LEGACY FOUNDATION
Organization’s Mailing Address 15462 TUNGSTEN WAY NW
City RAMSEY
State MN
ZIP 55303
Accounting period End 12
Primary contact name STACEY BURNHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANA HAMMON
DIRECTOR
3530 136TH LNNW
ANDOVER MN 55304

Officer/Director/Trustee Two

KARI HAMMON
TREASURER
325 HARRISON ST
ANOKA MN 55303

Officer/Director/Trustee Three

STEPHANIE HAMMON
SECRETARY
312 HARRISON ST
ANOKA MN 55303

Officer/Director/Trustee Four

STACEY BURNHAM
DIRECTOR
15462 TUNGSTEN WAY NW
RAMSEY MN 55303

Organization’s website
Organization’s email POOTERSPEEPS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 STACEY BURNHAM
Signature Title DIRECTOR
Signature Date 10/10/18

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