FORM 1023-EZ for MISS LINO LAKES AMBASSADOR PROGRAM

Field Data
EIN 47-4484900
Case Number EO-2015226-000227
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISS LINO LAKES AMBASSADOR PROGRAM
Organization’s Mailing Address 3873 TIMBERWOLF TR
City LINO LAKES
State MN
ZIP 55014
Accounting period End 6
Primary contact name BARB CULP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BARBARA CULP
DIRECTOR
3873 TIMBERWOLF TR
LINO LAKES MN 55038

Officer/Director/Trustee Two

MEGAN CULP
DIRECTOR
3873 TIMBERWOLF TR
LINO LAKES MN 55038

Officer/Director/Trustee Three

AMY HOUSET
DIRECTOR
6886 260TH ST
WYOMING MN 55092

Officer/Director/Trustee Four

ALYSSA ANDERSEN
DIRECTOR
9924 XEBEC AT NE
BLAINE MN 55014

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2003
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 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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