FORM 1023-EZ for US THALIDOMIDE SURVIVORS
| Field | Data |
|---|---|
| EIN | 83-2200144 |
| Case Number | EO-2019350-000389 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | US THALIDOMIDE SURVIVORS |
| Organization’s Mailing Address | 202 N CEDAR AVE SUITE 1 |
| City | OWATONNA |
| State | MN |
| ZIP | 55060-2306 |
| Accounting period End | 12 |
| Primary contact name | KIMBERLY L ARNDT SECRETARY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JOSE MARTYNOV G CALORA
PRESIDENT
16626 SW ROGUE RIVER TERRACE
BEAVERTON OR 97006-7975
Officer/Director/Trustee Two
GWEN RIECHMANN
VICE PRESIDENT
2034 CONNECTICUT AVENUE
CINCINNATI OH 45224-2304
Officer/Director/Trustee Three
LESLIE MINK
TREASURER
3310 N LEISURE WORLD BLVD 101
SILVER SPRING MD 20906-5659
Officer/Director/Trustee Four
CAROLYN SAMPSON
COMMUNICATIONS DIRECTOR
15353 GREENHAVEN LANE 103
BURNSVILLE MN 55306-1619
Officer/Director/Trustee Five
KIMBERLY ARNDT
SECRETARY
91 PIN OAK STREET
PALMYRA PA 17078-2949
| Organization’s website | USTHALIDOMIDESURVIVORS.ORG |
|---|---|
| Organization’s email | INFO@USTHALIDOMIDE.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/5/2018 |
| Organization Incorporation State | MN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | W01 - Alliance/Advocacy Organizations |
| 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 | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | KIMBERLY ARNDT |
| Signature Title | SECRETARY |
| Signature Date | 12/13/2019 |
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