FORM 1023-EZ for RECLAIM COMMUNITY INC

Field Data
EIN 81-2872886
Case Number EO-2016288-000283
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RECLAIM COMMUNITY INC
Organization’s Mailing Address 100 HILL AVENUE N PO BOX 9
City JASPER
State MN
ZIP 56144
Accounting period End 12
Primary contact name JASON MADTSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELICIA KORTUS
PRESIDENT
900 S GLENDALE
SIOUX FALLS SD 57104

Officer/Director/Trustee Two

JASON MADTSON
TREASURER
200 PROSPECT AVE
JASPER MN 56144

Officer/Director/Trustee Three

RANDY LARSON
VICE-PRESIDENT
PO BOX 67
JASPER MN 56144

Officer/Director/Trustee Four

KRISTIE VEINKAUF
SECRETARY
PO BOX 303
JASPER MN 56144

Officer/Director/Trustee Five

TERRY SKYBERG
DIRECTOR
135 40TH AVE
JASPER MN 56144

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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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