FORM 1023-EZ for MED CITY APRAXIA AWARENESS

Field Data
EIN 84-1781969
Case Number EO-2019212-000231
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MED CITY APRAXIA AWARENESS
Organization’s Mailing Address 266 BROOKSTONE DR SE
City ROCHESTER
State MN
ZIP 55904
Accounting period End 12
Primary contact name RUTHANN BREKKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUTHANN BREKKE
PRESIDENT/TREASURER
266 BROOKSTONE DR SE
ROCHESTER MN 55904

Officer/Director/Trustee Two

JEFFREY GANSEN
VICE PRESIDENT/SECRETARY
808 3RD AVE NE
BYRON MN 55920

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RUTHANN BREKKE
Signature Title PRESIDENT/TREASURER
Signature Date 7/29/19

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