FORM 1023-EZ for ARROWHEAD PARISH NURSE ASSOCIATION

Field Data
EIN 46-1527679
Case Number EO-2014233-000230
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ARROWHEAD PARISH NURSE ASSOCIATION
Organization’s Mailing Address 2101 WEST SECOND STREET
City DULUTH
State MN
ZIP 55806
Accounting period End 12
Primary contact name PAMELA FRANKLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PENNY LEBERGE
PRESIDENT, DIRECTOR
1301 SOUTH RIDGE ROAD
DULUTH MN 55804

Officer/Director/Trustee Two

PATTI MAGUIRE
TREASURER, DIRECTOR
3511 BLACKMAN AVENUE
DULUTH MN 55811

Officer/Director/Trustee Three

CAROLYN WOJTYSIAK
VICE PRES., SECRETARY, DIRECTOR
7798 HIGHWAY 8
CULVER MN 55779

Officer/Director/Trustee Four

PAMELA FRANKLIN
DIRECTOR, EXECUTIVE DIRECTOR
1015 TIMERLINE LANE
DULUTH MN 55811

Officer/Director/Trustee Five

MARGARET ROGERS
DIRECTOR
5539 LAKEWOOD ROAD
DULUTH MN 55804

Organization’s website
Organization’s email PARISHNURSEMN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2012
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
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 Yes
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 Yes
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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