FORM 1023-EZ for LAKE CRYSTAL AREA BASS BASHERS

Field Data
EIN 82-4955220
Case Number EO-2018347-000261
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE CRYSTAL AREA BASS BASHERS
Organization’s Mailing Address 1006 CRYSTAL LAKE DR
City LAKE CRYSTAL
State MN
ZIP 56055
Accounting period End 12
Primary contact name BREANNA LUDEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BREANNA LUDEMAN
PRESIDENT
1006 CRYSTAL LAKE DR
LAKE CRYSTAL MN 56055

Officer/Director/Trustee Two

ANDY THEISSEN
DIRECTOR
710 BENNETT ST
NORTH MANKATO MN 56003

Officer/Director/Trustee Three

PAUL BEINKE
DIRECTOR
52830 182ND ST
GARDEN CITY MN 56034

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
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 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 BREANNA LUDEMAN
Signature Title PRESIDENT
Signature Date 12/11/18

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