FORM 1023-EZ for AMERICAN MEDICAL WRITERS ASSOCIATION NORTH CENTRAL CHAPTER

Field Data
EIN 27-2578246
Case Number EO-2017030-000210
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMERICAN MEDICAL WRITERS ASSOCIATION NORTH CENTRAL CHAPTER
Organization’s Mailing Address 8028 SAVANNA VALLEY WAY
City VICTORIA
State MN
ZIP 55386-8235
Accounting period End 6
Primary contact name REBECCA DAHLBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA DAHLBERG
PRESIDENT
PO BOX 40298
SAINT PAUL MN 55104-8298

Officer/Director/Trustee Two

KENDRA HYLAND
PRESIDENT-ELECT
13 DEMONT AVE W
LITTLE CANADA MN 55117-1410

Officer/Director/Trustee Three

VENUGOPAL THAYANITHY
CO-TREASURER
2000 KNAPP AVE
SAINT PAUL MN 55108-1135

Officer/Director/Trustee Four

LYNELLE MARTINEZ
SECRETARY
13101 OSAGE ST NW
COON RAPIDS MN 55448-1229

Officer/Director/Trustee Five

ELLEN OMALLEY
CO-TREASURER
8028 SAVANNA WAY
VICTORIA MN 55386-8235

Organization’s website WWW.AMWANORTHCENTRAL.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/21/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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