FORM 1023-EZ for FLUID POWER SOCIETY CHAPTER 5

Field Data
EIN 81-4008924
Case Number EO-2016278-000040
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLUID POWER SOCIETY CHAPTER 5
Organization’s Mailing Address 9205 ANDREA DR
City WOODBURY
State MN
ZIP 55125
Accounting period End 12
Primary contact name ERIC B BREVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURIE PEPIN
PRESIDENT
10525 HAMPSHIRE AVE
MINNEAPOLIS MN 55438

Officer/Director/Trustee Two

THOMAS MIELKE
VICE PRESIDENT
13010 CTY RD 6
PLYMOUTH MN 55441

Officer/Director/Trustee Three

TERRY CHRISTOPHER
SECRETARY
9205 ANDREA DR
WOODBURY MN 55125

Officer/Director/Trustee Four

ANDREW VAN BEUSEKOM
TREASURER
301 INDUSTRIAL BLVD
NORWOOD YOUNG AMERIC MN 55397

Organization’s website HTTP://IFPS.ORG/DOCS/MEMBERSHIP/CHAPTERS/CHAPTER_5-MINNEAPOLIS_ST_PAUL-MN/DEFAULT.ASPX
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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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