FORM 1023-EZ for NEW PRAGUE COMMUNITY ACTION NETWORK

Field Data
EIN 81-4873569
Case Number EO-2017023-000462
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW PRAGUE COMMUNITY ACTION NETWORK
Organization’s Mailing Address 311 COLUMBUS AVENUE SOUTH
City NEW PRAGUE
State MN
ZIP 56071-1929
Accounting period End 12
Primary contact name DEBRA PEXA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMI COLLINS LILLQUIST
CO-CHAIRPERSON
685 PEXA DRIVE
NEW PRAGUE MN 56071

Officer/Director/Trustee Two

DEBRA PEXA
CO-CHAIRPERSON
18066 WILLIES WAY
NEW PRAGUE MN 56071

Officer/Director/Trustee Three

ANN HUSEBY
SECRETARY
8308 EAST 250TH STREET
ELKO MN 55020

Officer/Director/Trustee Four

KYTYN SCHOENBAUER
TREASURER
311 COLUMBUS AVENUE SOUTH
NEW PRAGUE MN 56071-1929

Organization’s website WWW.NPCAN.ORG
Organization’s email PEXACOX@BEVCOMM.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/5/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S01 - 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 Yes
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 Yes
One Third Support Gifts No
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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