FORM 1023-EZ for VETS TO THE LAKE

Field Data
EIN 81-4316973
Case Number EO-2016312-000247
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VETS TO THE LAKE
Organization’s Mailing Address 127 5TH STREET
City PINE RIVER
State MN
ZIP 56474
Accounting period End 12
Primary contact name DENNIS HOUG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENNIS HOUG
CHAIRPERSON
127 5TH STREET
PINE RIVER MN 56474

Officer/Director/Trustee Two

BOB BEHRENS
VICE CHAIR
11216 16TH ST NE
SAINT MICHAEL MN 55376

Officer/Director/Trustee Three

THOMAS SOUKUP
PUBLIC AFFAIRS
2516 25TH AVE SW
PINE RIVER MN 56474

Officer/Director/Trustee Four

CLYDE LEWANDOWSKI
SECRETARY/TREASURER
6525 47TH AVE SE
SAINT CLOUD MN 56324

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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
Signature Title
Signature Date

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