FORM 1023-EZ for LONG-TERM CARE RETHINK TANK INC

Field Data
EIN 81-3573468
Case Number EO-2016232-000424
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LONG-TERM CARE RETHINK TANK INC
Organization’s Mailing Address MMC 197 420 DELAWARE ST SE
City MINNEAPOLIS
State MN
ZIP 55455
Accounting period End 12
Primary contact name DAVID W WICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT KANE
DIRECTOR
MMC 197 420 DELAWARE ST SE
MINNEAPOLIS MN 55455

Officer/Director/Trustee Two

GEORGE SCHOEPHOERSTER
DIRECTOR
3702 STERLING DRIVE
ST CLOUD MN 56301

Officer/Director/Trustee Three

AMANDA HORNER
DIRECTOR
2707 EDGEWOOD AVE S
ST LOUIS PARK MN 55426

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H90 - Medical Specialty Research
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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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