FORM 1023-EZ for DULUTH HARBOR MISSION INC

Field Data
EIN 81-1924799
Case Number EO-2017101-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DULUTH HARBOR MISSION INC
Organization’s Mailing Address 4314 W 6TH STREET
City DULUTH
State MN
ZIP 55807
Accounting period End 12
Primary contact name VERONICA CIURLEO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VERONICA CIURLEO
EXECUTIVE DIRECTOR
4314 W 6TH ST
DULUTH MN 55807

Officer/Director/Trustee Two

JENNIFER FRANCISCO
BOARD PRESIDENT
314 UGSTAND RD
DULUTH MN 55807

Officer/Director/Trustee Three

BONNIE SEVERANCE
BOARD VICE PRESIDENT
13 FOXTAIL AVENUE
DULUTH MN 55807

Officer/Director/Trustee Four

ALYSSA BINION
BOARD SECRETARY/TREASURE
2805 WELLINGTON ST
DULUTH MN 55807

Officer/Director/Trustee Five

GARY DUZELL
BOARD OF DIRECTORS
5515 OAKS AVE
SUPERIOR WI 54880

Organization’s website DULUTHHM.ORG
Organization’s email HOPE@DULUTHHM.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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