FORM 1023-EZ for DARLING CHURCH MEMORIAL INCORPORATED

Field Data
EIN 83-2222900
Case Number EO-2019198-000232
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DARLING CHURCH MEMORIAL INCORPORATED
Organization’s Mailing Address 14272 N HWY 238
City LITTLE FALLS
State MN
ZIP 56435
Accounting period End 12
Primary contact name EARL MYRON MATHISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EARL MATHISON
PRESIDENT
1125 1ST ST S APT 363
SARTELL MN 56377

Officer/Director/Trustee Two

WILLIAM JOHNSON SR
VICE PRESIDENT
9434 250 TH STREET
RANDALL MN 56475

Officer/Director/Trustee Three

DIANNE STARICKA
SECRETARY
3281 70TH ST
SWANVILLE MN 56382

Officer/Director/Trustee Four

MARILYN ANDERSON
TREASURER
700 SUPERIOR AVE
RANDALL MN 56475

Officer/Director/Trustee Five

JOHN GUSTAFSON
DIRECTOR
14272 N HWY 238
LITTLE FALLS MN 56345

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: Yes
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 EARL MATHISON
Signature Title PRESIDENT
Signature Date 7/15/19

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