FORM 1023-EZ for CORPORATE REPORT CARD

Field Data
EIN 47-3679704
Case Number EO-2016215-000020
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CORPORATE REPORT CARD
Organization’s Mailing Address 6447 MURPHY LAKE ROAD
City BRIMSON
State MN
ZIP 55602
Accounting period End 12
Primary contact name CHRISTOPHER DICKEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER DICKEY
DIRECTOR
6447 MURPHY LAKE ROAD
BRIMSON MN 55602

Officer/Director/Trustee Two

BERNIE WILKE
BOARD CHAIR
5635 RIPPEY STREET APT 1
PITTSBURGH PA 15206-9997

Officer/Director/Trustee Three

RUTH JEBE
BOARD MEMBER
2402 UINTA STREET
DENVER CO 80238-3192

Officer/Director/Trustee Four

JILL JACOBY
BOARD MEMBER
3971 REHBEIN ROAD
DULUTH MN 55803-9275

Officer/Director/Trustee Five

JEFFREY SIEGRIST
BOARD MEMBER
5635 RIPPEY STREET APT 6
PITTSBURGH PA 15206-9997

Organization’s website WWW.CORPORATEREPORTCARD.ORG
Organization’s email CORPORATEREPORTCARD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B05 - Research Institutes and/or Public Policy Analysis
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 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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