FORM 1023-EZ for NORTHERN LAKES UNITED CAMPUS MINISTRY INC

Field Data
EIN 41-1402159
Case Number EO-2019063-000373
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN LAKES UNITED CAMPUS MINISTRY INC
Organization’s Mailing Address 301 WEST SAINT MARIE STREET
City DULUTH
State MN
ZIP 55803-2616
Accounting period End 12
Primary contact name ANITA STECH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEANINE ALEXANDER
CO-CHAIR
230 EAST SKYLINE PARKWAY
DULUTH MN 55811-2799

Officer/Director/Trustee Two

SARAH LAWTON
CO-CHAIR
301 WEST SAINT MARIE STREET
DULUTH MN 55893-2616

Officer/Director/Trustee Three

ANITA STECH
TREASURER
2420 EAST SIXTH STREET
DULUTH MN 55812-1403

Officer/Director/Trustee Four

KAREN BUELL
SECRETARY
201 BLUFFS RIDGE COURT
DULUTH MN 55811-2602

Officer/Director/Trustee Five

JAMES ANDERSON
BOARD MEMBER
707 RIDGEWOOD ROAD
DULUTH MN 55804-1732

Organization’s website UNITEDCAMPUSMINISTRY.WEEBLY.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/13
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Correctness Declaration Yes
Signature Name ANITA STECH
Signature Title TREASURER
Signature Date 3/1/19

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