FORM 1023-EZ for PROTECTORS PEAK RETREAT CENTER

Field Data
EIN 83-1486393
Case Number EO-2018295-000330
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROTECTORS PEAK RETREAT CENTER
Organization’s Mailing Address 22280 IMAN STREET NW
City NOWTHEN
State MN
ZIP 55330-5041
Accounting period End 12
Primary contact name NATHAN HARDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATHAN HARDER
EXECUTIVE DIRECTOR
22280 IMAN STREET NW
NOWTHEN MN 55330-5041

Officer/Director/Trustee Two

REBECCA HARDER
TREASURER
22280 IMAN STREET NW
NOWTHEN MN 55330-5041

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 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 NATHAN HARDER
Signature Title EXECUTIVE DIRECTOR
Signature Date 10/19/18

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