FORM 1023-EZ for ISLAND MUD LAKE PROPERTY OWNERS ASSOCIATION

Field Data
EIN 30-0485745
Case Number EO-2021173-000170
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ISLAND MUD LAKE PROPERTY OWNERS ASSOCIATION
Organization’s Mailing Address 24069 KELLY PT
City EMILY
State MN
ZIP 56447
Accounting period End 12
Primary contact name CHUCK PETTIPIECE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHUCK PETTIPIECE
PRESIDENT
24069 KELLY PT
EMILY MN 56447

Officer/Director/Trustee Two

JIM LUTTRELL
VICE PRESIDENT
41 N FARRELL ST
MAPLEWOOD MN 55119

Officer/Director/Trustee Three

JERRY FINNERTY
TREASURER
5945 SWEETWATER CIRCLE
SHOREWOOD MN 55331

Officer/Director/Trustee Four

LINDA BERGLUND
SECRETARY
9218 YORKSHIRE LANE
BROOKLYN PARK MN 55443

Officer/Director/Trustee Five

PAM NORDAHL
DIRECTOR
5421 COUNTRYSIDE ROAD
EDINA MN 55436

Organization’s website WWW.ISLANDMUDLAKE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/1986
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHUCK PETTIPIECE
Signature Title PRESIDENT
Signature Date 6/20/2021

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