FORM 1023-EZ for LOWER ST CROIX VALLEY VETERANS MEMORIAL

Field Data
EIN 30-1111852
Case Number EO-2018211-000367
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOWER ST CROIX VALLEY VETERANS MEMORIAL
Organization’s Mailing Address 16455 20TH STREET SOUTH
City LAKE ST CROIX BEACH
State MN
ZIP 55043
Accounting period End 12
Primary contact name KATHY LAUR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHY LAUR
DEPUTY CITY CLERK
16455 20TH STREET SOUTH
LAKE ST CROIX BEACH MN 55043-9513

Officer/Director/Trustee Two

DAVE ENGSTROM
CITY CLERK/ADMINISTRATOR
16455 20TH STREET SOUTH
LAKE ST CROIX BEACH MN 55043-9513

Organization’s website WWW.LSCB.GOVOFFICE.COM
Organization’s email KLAURLSCB@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - Fund Raising and/or Fund Distribution
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 KATHY LAUR
Signature Title DEPUTY CITY CLERK
Signature Date 7/27/18

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