FORM 1023-EZ for GLACIAL MINNESOTA WOMAN ORGANIZATION

Field Data
EIN 37-1786829
Case Number EO-2016235-000332
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GLACIAL MINNESOTA WOMAN ORGANIZATION
Organization’s Mailing Address P O BOX 35
City PELICAN RAPIDS
State MN
ZIP 56572
Accounting period End 12
Primary contact name PHLETUS WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHLETUS WILLIAMS
CHAIRPERSON
49341 FISH LAKE ROAD
PELICAN RAPIDS MN 56572-7174

Officer/Director/Trustee Two

SALLY WILLIAMS
TREASURER
49341 FISH LAKE ROAD
PELICAN RAPIDS MN 56572-7174

Officer/Director/Trustee Three

JOAN ELLISON
SECRETARY
20740 410TH STREET
PELICAN RAPIDS MN 56572-7439

Officer/Director/Trustee Four

RUDY BUTENAS
DIRECTOR
14291 COUNTY HIGHWAY 30
PELICAN RAPIDS MN 56572

Officer/Director/Trustee Five

DARRYL FORSGREN
DIRECTOR
44114 OUTLET BEACH ROAD
PELICAN RAPIDS MN 56572

Organization’s website
Organization’s email SKWMS2767@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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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