Angel Tax Credit Program

Qualified Fund Certification Application Form
Certification for Calendar Year 2014

Data Privacy Notice: per Minn. Stat. 116J.8737, Subd. 8, data provided in this application is not public data; certain information becomes public upon certification as a qualified fund, upon a credit allocation, and upon a credit revocation. Qualified fund’s names will be posted on the department’s website.

*indicates required information

Sections

I. Name and Identifying Information
II. Qualifications
III. Authorizations
IV. Certifications

Section I. Name and Identifying Information    Top

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  * Fund Contact Name:
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Section II. Qualifications    Top
(all must be true to qualify)


Pass-through entity type:
   





                     -AND/OR-
   Minn. Stat. 80A.46 clauses (13) or (14).
                     -AND/OR-
   Minn. Stat. 80A.50 (b).
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