FORM 1023-EZ for MPLS IMPULSE

Field Data
EIN 47-1309425
Case Number EO-2015141-000309
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MPLS IMPULSE
Organization’s Mailing Address 4519 BRYANT AVENUE SOUTH
City MINNEAPOLIS
State MN
ZIP 55419
Accounting period End 6
Primary contact name ARLO VANDE VEGTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SAMUEL GRACE
BOARD MEMBER
4519 BRYANT AVENUE SOUTH
MINNEAPOLIS MN 55419

Officer/Director/Trustee Two

ARLO VANDE VEGTE
BOARD MEMBER
12800 INDUSTRIAL PARK BLVD
PLYMOUTH MN 55441

Officer/Director/Trustee Three

JUDY ROGOSHESKE
BOARD MEMBER
540 OLD CRYSTAL BAY ROAD
ORONO MN 55356

Officer/Director/Trustee Four

HEIDI LARSON
BOARD MEMBER
6227 VINCENT AVENUE SOUTH
RICHFIELD MN 55423

Officer/Director/Trustee Five

BERGIT NERHEIM
BOARD MEMBER
1505 WESTWOOD DRIVE
MOUND MN 55364

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6B - Singing, Choral
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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