FORM 1023-EZ for LAKEVILLE NORTH CLAY TARGET TEAM

Field Data
EIN 82-4513647
Case Number EO-2019042-000126
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKEVILLE NORTH CLAY TARGET TEAM
Organization’s Mailing Address PO BOX 1183
City LAKEVILLE
State MN
ZIP 55044
Accounting period End 7
Primary contact name LESLIE JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRADLEY CHARCHENKO
PRESIDENT
17560 HAVERHILL CIRCLE
LAKEVILLE MN 55044

Officer/Director/Trustee Two

RICHARD CRIPPEN
VICE PRESIDENT
17312 HUMMINGBIRD CT
LAKEVILLE MN 55044

Officer/Director/Trustee Three

JEFFREY KELLINGTON
CHIEF SAFETY OFFICER
12021 162ND STREET
LAKEVILLE MN 55044

Officer/Director/Trustee Four

LESLIE JOHNSON
TREASURER
17875 ITEN CT S
LAKEVILLE MN 55044

Organization’s website WWW.LAKEVILLENORTHTRAP.COM
Organization’s email LESLIE@LAKEVILLENORTHTRAP.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: No
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 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 LESLIE JOHNSON
Signature Title TREASURER
Signature Date 2/7/19

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