FORM 1023-EZ for COKATO FOOD SHELF

Field Data
EIN 81-4446868
Case Number EO-2017023-000263
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COKATO FOOD SHELF
Organization’s Mailing Address PO BOX 1034
City COKATO
State MN
ZIP 55321-1034
Accounting period End 12
Primary contact name TIMOTHY ROBINSON CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ORVAL WIRKKALA
CHAIRMAN
275 ARBOR CURVE NE
COKATO MN 55321

Officer/Director/Trustee Two

ROB EDWARDS
VICE CHAIRMAN
250 LAKE ST
DASSEL MN 55325

Officer/Director/Trustee Three

ELROY DAHLIN
TREASURER
16612 HWY 12 SW
COKATO MN 55321

Officer/Director/Trustee Four

TONY ONNEN
VICE TREASURER
15245 12TH ST SW
COKATO MN 55321

Officer/Director/Trustee Five

CHRIS GLOEGE
SECRETARY
215 JACKSON AVE NW
COKATO MN 55321

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 Yes
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
Signature Title
Signature Date

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