FORM 1023-EZ for MILE IN MY SHOES

Field Data
EIN 47-2702026
Case Number EO-2015023-000247
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MILE IN MY SHOES
Organization’s Mailing Address 204 9TH AVE NORTH APT 401
City MINNEAPOLIS
State MN
ZIP 55401
Accounting period End 12
Primary contact name MISHKA VERTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MISHKA VERTIN
PRESIDENT
204 9th Ave North Apt 401
Minneapolis MN 55401

Officer/Director/Trustee Two

MICHAEL JURASITS
TREASURER
204 9TH AVE NORTH APT 401
Minneapolis MN 55401

Officer/Director/Trustee Three

JANA HUFFMAN
SECRETARY
655 JACKSON ST NE
MINNEAPOLIS MN 55413

Organization’s website MILEINMYSHOES.MN
Organization’s email MILEINMYSHOES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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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