FORM 1023-EZ for CAMBRIDGE SURPLUS FOOD DISTRIBUTION

Field Data
EIN 47-1680716
Case Number EO-2014287-000298
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMBRIDGE SURPLUS FOOD DISTRIBUTION
Organization’s Mailing Address 6028 349TH AVE NW
City PRINCETON
State MN
ZIP 55371
Accounting period End 12
Primary contact name EDWARD KIDROWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EDWARD KIDROWSKI
PRESIDENT
6028 349TH AVE NW
PRINCETON MN 55371

Officer/Director/Trustee Two

CONNIE KASSA
DIRECTOR
33604 XYLITE ST NE
CAMBRIDGE MN 55008

Officer/Director/Trustee Three

MARY WIGDAHL
SECRETARY
3776 COUNTY RD 5 NE
ISANTI MN 55040

Officer/Director/Trustee Four

WALLACE ANDERSON
TREASURER
30378 XYLITE ST NE
CAMBRIDGE MN 55008

Officer/Director/Trustee Five

JOSEPHINE PETERSON
DIRECTOR
32525 JIVARO ST NW
CAMBRIDGE MN 55008

Organization’s website CAMBRIDGEFOODDISTRIBUTION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/2012
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 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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