FORM 1023-EZ for FARGO-MOORHEAD PANCREATIC CANCER AWARENESS GROUP

Field Data
EIN 46-4401225
Case Number EO-2015152-000139
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FARGO-MOORHEAD PANCREATIC CANCER AWARENESS GROUP
Organization’s Mailing Address 3702 FAIRWAY ROAD NORTH
City FARGO
State ND
ZIP 58102
Accounting period End 12
Primary contact name ANGELA BOSER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANGELA BOSER
PRESIDENT
3702 FAIRWAY ROAD NORTH
FARGO ND 58102

Officer/Director/Trustee Two

KATIE KRINGSTAD
VICE PRESIDENT
950 76TH AVE S
FARGO ND 58104

Officer/Director/Trustee Three

BRENT FRAZIER
TREASURER
PO BOX 255
PELICAN RAPIDS MN 56572-0255

Officer/Director/Trustee Four

BONNIE OLSON
SECRETARY
305 27TH AVE N
FARGO ND 58102

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/2013
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G80 - Specifically Named Diseases
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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