FORM 1023-EZ for ANDREWS BRAVERY BOX

Field Data
EIN 84-2926436
Case Number EO-2019256-000133
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANDREWS BRAVERY BOX
Organization’s Mailing Address 1422 126TH AVENUE NW
City COON RAPIDS
State MN
ZIP 55448
Accounting period End 12
Primary contact name ELIZABETH DORSING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH DORSING
PRESIDENT, TREASURER
1422 126TH AVENUE NW
COON RAPIDS MN 55448

Officer/Director/Trustee Two

JEROMY DORSING
VICE PRESIDENT
1422 126TH AVENUE NW
COON RAPIDS MN 55448

Officer/Director/Trustee Three

JENNIFER ROWDON
SECRETARY
6717 38TH AVE N
CRYSTAL MN 55427

Officer/Director/Trustee Four

KELLY MATTHIAS
DIRECTOR
1671 LAKE VALENTINE RD
ARDEN HILLS MN 55112

Officer/Director/Trustee Five

LYNN STONEKING
DIRECTOR
49780 COUNTY ROAD 3
WINDOM MN 56101

Organization’s website WWW.ANDREWSBRAVERYBOX.COM
Organization’s email BETHDORSING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/19
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift 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 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 ELIZABETH DORSING
Signature Title PRESIDENT, TREASURER
Signature Date 9/9/19

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