FORM 1023-EZ for ACORN HILL EAAT INC

Field Data
EIN 47-4467243
Case Number EO-2016218-000113
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ACORN HILL EAAT INC
Organization’s Mailing Address 7969 65TH AVENUE SW
City MOTLEY
State MN
ZIP 56466
Accounting period End 12
Primary contact name KELLY ANN PETERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY ANN PETERSON
PRESIDENT
7969 65TH AVENUE SW
MOTLEY MN 56466

Officer/Director/Trustee Two

CHRISTY MAYS
TREASURER
2714 LAURELWOOD COURT
BEAVERCREEK OH 45431

Officer/Director/Trustee Three

ANDREA BIEBERICH
SECRETARY
209 TAVISH TRAIL
LAKEWAY TX 78738

Organization’s website WWW.ACORNHILLEAAT.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2015
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, 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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