FORM 1023-EZ for ISANTI COUNTY COLA

Field Data
EIN 82-1735959
Case Number EO-2017188-000232
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ISANTI COUNTY COLA
Organization’s Mailing Address 27845 BAY SHORE DR NW
City ISANTI
State MN
ZIP 55040
Accounting period End 12
Primary contact name JEROME SCHAUBACH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEROME SCHAUBACH
VICE PRESIDENT/TREASURER
27845 BAY SHORE DR NW
ISANTI MN 55040

Officer/Director/Trustee Two

JIM SHOMENTA
PRESIDENT
33403 HELIUM ST NW
CAMBRIDGE MN 55008

Officer/Director/Trustee Three

JOHN BISTODEAU
SECRETARY
27995 BLUE LAKE DR NW
ZIMMERMAN MN 55398

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
Compensation of Officer director trustee No
Donation of funds Yes
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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