FORM 1023-EZ for HELENS KITCHEN INC

Field Data
EIN 81-3182563
Case Number EO-2016203-000136
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HELENS KITCHEN INC
Organization’s Mailing Address 301 AIRPORT RD
City PARK
State MN
ZIP 56470
Accounting period End 6
Primary contact name RACHEL A CREAGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL CREAGER
PRESIDENT
13505 BLACK BEAR DR
PARK RAPIDS MN 56470

Officer/Director/Trustee Two

JOHN ZINNEL
VICE PRESIDENT
14198 CO 18
PARK RAPIDS MN 56470

Officer/Director/Trustee Three

MARIE HASS
SECRETARY
23145 HIGHVIEW RD
NEVIS MN 56467

Officer/Director/Trustee Four

SUSAN BEARDEN
TREASURER
500 RIVERSIDE AVE APT 2
PARK RAPIDS MN 56470

Organization’s website
Organization’s email RA59@UNITELC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 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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