FORM 1023-EZ for HUMBLE AND KIND AN ALZHEIMERS FOUNDATION
| Field | Data |
|---|---|
| EIN | 85-3046095 |
| Case Number | EO-2021097-001459 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HUMBLE AND KIND AN ALZHEIMERS FOUNDATION |
| Organization’s Mailing Address | 105561 62ND ST NE |
| City | ALBERTVILLE |
| State | MN |
| ZIP | 55301 |
| Accounting period End | 12 |
| Primary contact name | MICHAEL PETERSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JILLIAN HENDRICKSON
DIRECTOR
6638 EAST LAKETOWN DRIVE
ALBERTVILLE MN 55301
Officer/Director/Trustee Two
PATRICK SCHOMMER
DIRECTOR
9575 UNION TERRACE LANE N
MAPLE GROVE MN 55369
Officer/Director/Trustee Three
MEGHAN LAWINGER
DIRECTOR
9575 UNION TERRACE LANE N
MAPLE GROVE MN 55369
Officer/Director/Trustee Four
KATIE HAWS
DIRECTOR
4561 MELINA AVE NE
SAINT MICHAEL MN 55376
Officer/Director/Trustee Five
MARK SCHOMMER
DIRECTOR
9135 KINGSVIEW LANE N
MAPLE GROVE MN 55369
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/16/2020 |
| Organization Incorporation State | MN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G83 - Alzheimer's Disease |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No Scientific: Yes 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 | Yes |
| 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 | JILLIAN HENDRICKSON |
| Signature Title | DIRECTOR |
| Signature Date | 3/16/2021 |
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