FORM 1023-EZ for LAKES LIGHTNING VOLLEYBALL CLUB

Field Data
EIN 83-2417355
Case Number EO-2018319-000083
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKES LIGHTNING VOLLEYBALL CLUB
Organization’s Mailing Address 12935 WHITNEY LANE
City FRAZEE
State MN
ZIP 56544
Accounting period End 12
Primary contact name STACY GRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STACY GRAY
PRESIDENT
12835 WHITNEY LANE
FRAZEE MN 56544

Officer/Director/Trustee Two

JODIE JOHNSON
VICE PRESIDENT
29206 MCHUGH ROAD
DETROIT LAKES MN 56501

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name STACY GRAY
Signature Title PRESIDENT
Signature Date 11/12/18

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