FORM 1023-EZ for MINNESOTA PEACE CORPS LEGACY ASSOCIATION

Field Data
EIN 83-2321414
Case Number EO-2019259-000683
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MINNESOTA PEACE CORPS LEGACY ASSOCIATION
Organization’s Mailing Address 11 PHEASANT LANE
City NORTHS OAKS
State MN
ZIP 55127-2513
Accounting period End 12
Primary contact name JANE BARDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH FLIES
PRESIDENT
4311B CLEMSON CIRCLE
SAINT PAUL MN 55122-4519

Officer/Director/Trustee Two

JANE BARDON
VICE PRESIDENT
11 PHEASANT LANE
NORTH OAKS MN 55127-2513

Officer/Director/Trustee Three

AMY EARLE
SECRETARY
2000 JUNEAU LANE NORTH
PLYMOUTH MN 55447-4678

Officer/Director/Trustee Four

MARY ADAMS
TREASURER
2807 FREMONT AVENUE NORTH
MINNEAPOLIS MN 55411-1310

Officer/Director/Trustee Five

RHODA BROOKS
DIRECTOR
723 WATER STREET
EXCELSIOR MN 55331-3064

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/13/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q20 - Promotion of International Understanding
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 JANE BARDON
Signature Title VICE PRESIDENT
Signature Date 9/11/19

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