FORM 1023-EZ for BROOKLYN PARK FIRE FOUNDATION INC

Field Data
EIN 84-3758526
Case Number EO-2019329-000320
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROOKLYN PARK FIRE FOUNDATION INC
Organization’s Mailing Address 5700 85TH AVE N
City BROOKLYN PARK
State MN
ZIP 55443
Accounting period End 12
Primary contact name JAMES MICHELS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE CHRISTIAN
PRESIDENT
21745 ZODIAC ST NE
WYOMING MN 55092

Officer/Director/Trustee Two

MIKE MAURER
TREASURER
2406 94TH WAY
BROOKLYN PARK MN 55444

Officer/Director/Trustee Three

JEFF ST MARTIN
VICE-PRESIDENT
3217 EDGEMERE AVE
SAINT ANTHONY MN 55418

Officer/Director/Trustee Four

JOE ZIEBA
SECRETARY
15377 81ST CT NE
OTSEGO MN 55330

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/19
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 MIKE CHRISTIAN
Signature Title PRESIDENT
Signature Date 11/21/19

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