FORM 1023-EZ for ONE OF US INC
| Field | Data |
|---|---|
| EIN | 84-3576022 |
| Case Number | EO-2019311-000078 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ONE OF US INC |
| Organization’s Mailing Address | 1344 ST PAUL AVE APT 7 |
| City | SAINT PAUL |
| State | MN |
| ZIP | 55116-2752 |
| Accounting period End | 12 |
| Primary contact name | JEREMY DUDLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JEREMY DUDLEY
CHIEF EXECUTIVE OFFICER
1344 ST PAUL AVE APT 7
SAINT PAUL MN 55116-2752
Officer/Director/Trustee Two
ANN PERRY
SECRETARY
13706 COYOTE COURT
MINNETONKA MN 55305-4528
Officer/Director/Trustee Three
DEAN JOHNSON
TREASURER
13706 COYOTE COURT
MINNETONA MN 55305-4528
Officer/Director/Trustee Four
MARK MIRICK
MEDICAL DIRECTOR
7 HAWTHORNE ROAD
HOPKINS MN 55343
Officer/Director/Trustee Five
PAIGE MYRAH
BOARDMEMBER
7901 JUNEAU LANE NORTH
MAPLE GROVE MN 55331
| Organization’s website | N/A |
|---|---|
| Organization’s email | ERNY234@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/24/19 |
| Organization Incorporation State | MN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F21 - Alcohol, Drug Abuse, Prevention Only |
| 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 | JEREMY DUDLEY |
| Signature Title | CHIEF EXECUTIVE OFFICER |
| Signature Date | 11/5/19 |
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