FORM 1023-EZ for FOR JAKES SAKE FOUNDATION

Field Data
EIN 46-4182431
Case Number EO-2019346-000347
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOR JAKES SAKE FOUNDATION
Organization’s Mailing Address 31089 MAGNOLIA LANE
City LINDSTROM
State MN
ZIP 55045
Accounting period End 12
Primary contact name KEVIN L APPLEQUIST CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERI SCHMAUS
PRESIDENT
31089 MAGNOLIA LANE
LINDSTROM MN 55045

Officer/Director/Trustee Two

CHARLES PRASEK
VICE PRESIDENT
534 78TH AVENUE NE
SPRING LAKE PARK MN 55432

Officer/Director/Trustee Three

CALLEY SHUMAN
SECRETARY
2050 CONSTANCE BLVD NE
HAM LAKE MN 55304

Officer/Director/Trustee Four

CHRIS PIDEL
TREASURER
8300 FAIRCHILD AVENUE
MOUNDS VIEW MN 55112

Officer/Director/Trustee Five

RINDY ZGUTOWICZ
TRUSTEE
19543 JAMESTOWN STREET NE
WYOMING MN 55092

Organization’s website WWW.JAKESAKE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/26/2013
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHRIS PIDEL
Signature Title TREASURER
Signature Date 12/10/2019

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