FORM 1023-EZ for FRIENDS OF THE LAKE SUPERIOR NATIONAL ESTUARINE RESEARCH RESERVE

Field Data
EIN 82-0785414
Case Number EO-2017102-000096
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF THE LAKE SUPERIOR NATIONAL ESTUARINE RESEARCH RESERVE
Organization’s Mailing Address 3 MARINA DRIVE
City SUPERIOR
State WI
ZIP 54880-3280
Accounting period End 10
Primary contact name BRIAN FREDRICKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK COLLINS
CHAIR
2901 EAST SUPERIOR STREET
DULUTH MN 55812-2354

Officer/Director/Trustee Two

MICHAEL KOUTNIK
VICE CHAIR
4872 KNOTTINGHAM CIRCLE
EAGAN MN 55122-2793

Officer/Director/Trustee Three

JANET KEOUGH
SECRETARY
2787 NORTHWOODS LANE
DULUTH MN 55803-9703

Officer/Director/Trustee Four

BRIAN FREDRICKSON
TREASURER
7501 WEST SKYLINE PARKWAY
DULUTH MN 55810-1377

Organization’s website
Organization’s email CONTACT.FOTLSR@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/2017
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C32 - Water Resource, Wetlands Conservation and Management
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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
Signature Title
Signature Date

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