FORM 1023-EZ for ASPIRE CARE CORPORATION

Field Data
EIN 47-3040946
Case Number EO-2015065-000278
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ASPIRE CARE CORPORATION
Organization’s Mailing Address 11501 PARK RIDGE DRIVE WEST
City MINNETONKA
State MN
ZIP 55305-2555
Accounting period End 12
Primary contact name QUENTIN BERZINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

QUENTIN BERZINS
CHIEF EXECUTIVE OFFICER
11501 PARK RIDGE DRIVE WEST
Minnetonka MN 55305-2555

Officer/Director/Trustee Two

PATRICIA RELLER
CHAIR
4526 ORCHARD AVENUE NORTH
ROBBINSDALE MN 55422-1131

Officer/Director/Trustee Three

DEBORAH JOHNSON
PRESIDENT
3740 GRAND AVENUE SOUTH
MINNEAPOLIS MN 55409-1119

Officer/Director/Trustee Four

KELLY JO MILLER
TREASURER
23838 SYCAMORE STREET NORTH WEST
SAINT FRANCIS MN 55070-8654

Officer/Director/Trustee Five

SANDRA BLUTH
SECRETARY
3614 CLEVELAND STREET NORTH EAST
MINNEAPOLIS MN 55418

Organization’s website WWW.ASPIRECARECORPORATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2015
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G94 - Geriatrics
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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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