FORM 1023-EZ for CELEBRATE HALLOCK INC

Field Data
EIN 82-5009887
Case Number EO-2018128-001136
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CELEBRATE HALLOCK INC
Organization’s Mailing Address PO BOX 790
City HALLOCK
State MN
ZIP 56728-790
Accounting period End 12
Primary contact name GEORGE H HANSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JON BLOMQUIST
PRESIDENT
2587 280TH ST
HALLOCK MN 56728

Officer/Director/Trustee Two

KAREN ISAACSON
TREASURER
337 2ND STREET NE
HALLCOK MN 56728

Officer/Director/Trustee Three

LOREN YOUNGGREN
VICE PRESIDENT
290 SOUTH ATLANTIC AVE
HALLOCK MN 56728

Officer/Director/Trustee Four

DAVID LINDEGARD
DIRECTOR
119 N 2ND ST
HALLOCK MN 56728

Officer/Director/Trustee Five

GEORGE HANSON
ATTORNEY
217 BIRCH AVENUE SOUTH
HALLOCK MN 56728-790

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 GEORGE HANSON
Signature Title ATTORNEY
Signature Date 5/4/18

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