FORM 1023-EZ for LINDSTROM HISTORICAL SOCIETY

Field Data
EIN 75-3028936
Case Number EO-2015281-000318
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LINDSTROM HISTORICAL SOCIETY
Organization’s Mailing Address 28388 REDWING AVE
City SHAFER
State MN
ZIP 55074-9619
Accounting period End 12
Primary contact name DENNIS GUSTAFSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DENNIS GUSTAFSON
PRESIDENT
28388 REDWING AVE
SHAFER MN 55074-9619

Officer/Director/Trustee Two

CHARLES JAHN
VICE PRESIDENT
12035 285TH ST
LINDSTROM MN 55045-9547

Officer/Director/Trustee Three

ARILD HAGBERG
SECRETARY
12978 EVERGREEN DR
LINDSTROM MN 55045-9547

Officer/Director/Trustee Four

SHIRLEY GUSTAFSON
BOARD OF DIRECTOR
28388 REDWING AVE
SHAFER MN 55074-9547

Officer/Director/Trustee Five

SHIRLEY CARLSON
BOARD OF DIRECTOR
34765 OASIS RD
LINDSTROM MN 55045-9547

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/1995
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
Organization’s purpose Charitable: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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