FORM 1023-EZ for THE TIM RASMUSSEN FOUNDATION

Field Data
EIN 47-2600643
Case Number EO-2015281-000238
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE TIM RASMUSSEN FOUNDATION
Organization’s Mailing Address 3038 SCANLAN LANE NE
City ROCHESTER
State MN
ZIP 55906
Accounting period End 12
Primary contact name MATTHEW JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KC GRANER
PRESIDENT AND CHAIR AND DIRECTOR
10654 COUNTY ROAD 3
PINE ISLAND MN 55963

Officer/Director/Trustee Two

STEVE RASMUSSEN
TREASURER AND DIRECTOR
3038 SCANLAN LN NE
ROCHESTER MN 55906

Officer/Director/Trustee Three

JACKIE RASMUSSEN
SECRETARY AND DIRECTOR
3038 SCANLAN LN NE
ROCHESTER MN 55906

Officer/Director/Trustee Four

ERIK JOHNSON
DIRECTOR
1416 VALLEYHIGH DR NW
ROCHESTER MN 55901

Officer/Director/Trustee Five

JUSTIN STREIFF
DIRECTOR
5846 LLOYD STREET NW
ROCHESTER MN 55901

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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
Signature Title
Signature Date

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