FORM 1023-EZ for CIRCUIT SAVERS

Field Data
EIN 85-1190699
Case Number EO-2020195-000990
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CIRCUIT SAVERS
Organization’s Mailing Address 3222 BLACK OAK DRIVE
City EAGAN
State MN
ZIP 55121-2334
Accounting period End 12
Primary contact name CARL LARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARL LARSON
LEAD TECHNICAL ADVISER
3222 2810 145TH ST W
ROSEMOUNT MN 55068-0021

Officer/Director/Trustee Two

TIMOTHY TU
PRESIDENT (UNDER 18)
4473 FAWN RIDGE TRAIL
EAGAN MN 55123-2334

Organization’s website CIRCUITSAVERS.ORG
Organization’s email CIRCUITSAVERS.MN@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2019
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P02 - Management & Technical Assistance
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CARL LARSON
Signature Title LEAD TECHNICAL ADVISER
Signature Date 7/11/2020

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