FORM 1023-EZ for MINNESOTA YOUNG ADULTS 4 RECOVERY

Field Data
EIN 82-4874960
Case Number EO-2018247-000701
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MINNESOTA YOUNG ADULTS 4 RECOVERY
Organization’s Mailing Address 10036 WENTWORTH AVE SOUTH
City BLOOMINGTON
State MN
ZIP 55420
Accounting period End 12
Primary contact name KIMBERLY ANTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY ANTON
DIRECTOR
10036 WENTWORTH AVE
BLOOMINGTON MN 55420

Officer/Director/Trustee Two

JOSH CHILTON
MOBILIZATION & HOUSING
7362 EAST POINT DOUGLAS RD S
COTTAGE GROVE MN 55016

Officer/Director/Trustee Three

LUKE KJOLSING
IT & APPS
1131 RAYMOND AVE
ST. PAUL MN 55108

Officer/Director/Trustee Four

BRITTA SVIHEL
CHEMICAL HEALTH DIRECTOR
2000 HOPKINS CROSSROAD
HOPKINS MN 55305

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E20 - Hospitals and Related Primary Medical Care Facilities
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 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 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 KIMBERLY ANTON
Signature Title DIRECTOR
Signature Date 8/31/18

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