FORM 1023-EZ for GAITS OF HOPE EAP L NONPROFIT

Field Data
EIN 82-0644196
Case Number EO-2017068-000532
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GAITS OF HOPE EAP L NONPROFIT
Organization’s Mailing Address 2623 125TH ST NE
City RICE
State MN
ZIP 56367-9746
Accounting period End 12
Primary contact name JODINE ROTHSTEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JODINE ROTHSTEIN
EXECUTIVE DIRECTOR
2623 125TH ST NE
RICE MN 56367-9746

Officer/Director/Trustee Two

KURT MUSTIAN
DIRECTOR
125 35TH AVE N
ST CLOUD MN 56303-4039

Officer/Director/Trustee Three

JASON THEIS
TREASURER
2623 125TH ST NE
RICE MN 56367-9746

Officer/Director/Trustee Four

JODIE GOHMANN
SECRETARY
702 200TH ST
CLEARWATER MN 55320-1505

Officer/Director/Trustee Five

ROSEMARY NOVACK-SMITH
BOARD ADVISOR
10100 WEST LAKE RD
RICE MN 56367-9746

Organization’s website
Organization’s email ROTH@JETUP.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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