FORM 1023-EZ for CIRCLE SPACE SERVICES

Field Data
EIN 47-3528793
Case Number EO-2015142-000434
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CIRCLE SPACE SERVICES
Organization’s Mailing Address 876 HELEN STREET
City PRESCOTT
State WI
ZIP 54021
Accounting period End 12
Primary contact name KRIS MINER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GENE THIN ELK
CHAIR
411 STANFORD
VERMILLION SD 57069

Officer/Director/Trustee Two

HOLLY ROBB
OFFICER
150 ASPEN CIRCLE
HAINSVILLE IL 60030

Officer/Director/Trustee Three

KYLIE MINER
OFFICER
3017 PARK AVE S
MINNEAPOLIS MN 55407

Officer/Director/Trustee Four

KRIS MINER
DIRECTOR
876 HELEN STREET
PRESCOTT WI 54021

Organization’s website
Organization’s email MINER.KRIS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I01 - 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 Yes
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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