FORM 1023-EZ for OUR SAVIORS LUTHERAN CHURCH FOUNDATION

Field Data
EIN 46-0439763
Case Number EO-2014265-000366
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OUR SAVIORS LUTHERAN CHURCH FOUNDATION
Organization’s Mailing Address 44735 107TH ST
City VEBLEN
State SD
ZIP 57270
Accounting period End 12
Primary contact name JASON MEDHAUG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LONNIE AADLAND
PRESIDENT
315 S 1ST ST
EDEN SD 57232

Officer/Director/Trustee Two

JANELLE VIG
SECRETARY
44744
LIDGERWOOD ND 58053

Officer/Director/Trustee Three

JORDEN HILL
DIRECTOR
44660 101ST ST
VEBLEN SD 57270

Officer/Director/Trustee Four

JASON MEDHAUG
TREASURER
44735 107TH ST
VEBLEN SD 57270

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/1994
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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