FORM 1023-EZ for CARING HEARTS IN ACTION MN

Field Data
EIN 82-4150967
Case Number EO-2018029-000314
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARING HEARTS IN ACTION MN
Organization’s Mailing Address 403 3RD ST
City FARMINGTON
State MN
ZIP 55024
Accounting period End 12
Primary contact name JENNIFER URBAN - CAF 0308-14263R
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CINDY ADAMS-ELLIS
PRESIDENT + DIRECTOR
17554 GAGE AVE
FARMINGTON MN 55024

Officer/Director/Trustee Two

LISA TRIER
TREASURER + DIRECTOR
14760 OAK RUN LN
BURNSVILLE MN 55306

Officer/Director/Trustee Three

LANA JONES
SECRETARY + DIRECTOR
5090 192ND ST W
FARMINGTON MN 55024

Officer/Director/Trustee Four

MARYA WHITE
DIRECTOR
13290 HUNTINGTON DR
APPLE VALLEY MN 55124

Officer/Director/Trustee Five

MARY CANADA
DIRECTOR
5418 189TH ST W
FARMINGTON MN 55024

Organization’s website HTTPS://CARINGHEARTSMN.ORG/
Organization’s email FRIENDS@CARINGHEARTSMN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 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 LANA JONES
Signature Title SECRETARY + DIRECTOR
Signature Date 1/25/18

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