FORM 1023-EZ for CARNELIAN LAKE ASSOCIATION

Field Data
EIN 85-0843902
Case Number EO-2021097-000643
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARNELIAN LAKE ASSOCIATION
Organization’s Mailing Address 17132 DANZIG ROAD
City KIMBALL
State MN
ZIP 55353
Accounting period End 5
Primary contact name LISA KUECHLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVE MEIDL
PRESIDENT
17132 DANZIG ROAD
KIMBALL MN 55353-2745

Officer/Director/Trustee Two

LISA KUECHLE
SECRETARY
17047 DANZIG ROAD
KIMBALL MN 55353-9704

Officer/Director/Trustee Three

SCOTT ARMSTRONG
TREASURER
5844 BROOKVIEW AVE
EDINA MN 55424-1906

Officer/Director/Trustee Four

WALTER BECKER
PRESIDENT-ELECT
8050 163RD ST
KIMBALL MN 55353-9785

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/1987
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
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 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 LISA KUECHLE
Signature Title SECRETARY
Signature Date 3/14/2021

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