FORM 1023-EZ for MINNESOTA YETI LACROSSE ASSOCIATION

Field Data
EIN 81-5370021
Case Number EO-2019196-000156
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MINNESOTA YETI LACROSSE ASSOCIATION
Organization’s Mailing Address 15134 BLUEBIRD ST NW
City ANDOVER
State MN
ZIP 55304
Accounting period End 12
Primary contact name HEIDI GEISS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CATIE BUTCHER
PRESIDENT
1327 OAKVIEW WAY
ANOKA MN 55303

Officer/Director/Trustee Two

HEIDI GEISS
TREASURER
15134 BLUEBIRD ST NW
ANDOVER MN 55304

Officer/Director/Trustee Three

MICHAEL JOHNSON
VICE-PRESIDENT
15717 VALE ST NW
ANDOVER MN 55304

Officer/Director/Trustee Four

DANIEL BUTCHER
MEMBER
1327 OAKVIEW WAY
ANOKA MN 55303

Officer/Director/Trustee Five

BRAD GEISS
MEMBER
15134 BLUEBIRD ST NW
ANDOVER MN 55304

Organization’s website
Organization’s email HEIDIGEISS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/17
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HEIDI GEISS
Signature Title TREASURER
Signature Date 7/11/19

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