FORM 1023-EZ for A PLACE TO CALL HOME

Field Data
EIN 81-3390216
Case Number EO-2016251-000432
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A PLACE TO CALL HOME
Organization’s Mailing Address 1243 FREMONT AVENUE
City SAINT PAUL
State MN
ZIP 55106
Accounting period End 12
Primary contact name GENEVIEVE LAVOI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RENEE LAVOIE
CHAIRMAN
350 VAN WHITE MEMORIAL BLVD APT 40
MINNEAPOLIS MN 55405

Officer/Director/Trustee Two

GENEVIEVE LAVOI
TREASURER
1243 FREMONT AVENUE
SAINT PAUL MN 55106

Officer/Director/Trustee Three

JULIE CURRAN
SECRETARY
1646 SELBY AVENUE APT 2
SAINT PAUL MN 55104

Organization’s website WWW.APLACE2CALLHOME.US
Organization’s email INFO@APLACE2CALLHOME.US
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund 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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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