FORM 1023-EZ for FREE HEROINS HOLD

Field Data
EIN 81-0848149
Case Number EO-2015355-000149
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FREE HEROINS HOLD
Organization’s Mailing Address 23068 NAVAJO STREET NW
City SAINT FRANCIS
State MN
ZIP 55070
Accounting period End 12
Primary contact name JENNIFER NORDEEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER NORDEEN
PRESIDENT
23068 NAVAJO STREET NW
SAINT FRANCIS MN 55070

Officer/Director/Trustee Two

ANDREW NORDEEN
SECRETARY
23068 NAVAJO STREET NW
SAINT FRANCIS MN 55070

Officer/Director/Trustee Three

JODI VEZINA
TREASURER
13099 ELGIN DRIVE
ELK RIVER MN 55330

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2015
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: Yes
Religious: Yes
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 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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