FORM 1023-EZ for ANGLERS FOR HABITAT

Field Data
EIN 80-0464412
Case Number EO-2015299-000365
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANGLERS FOR HABITAT
Organization’s Mailing Address 7600 WEST 27TH STREET
City ST. LOUIS PARK
State MN
ZIP 55426
Accounting period End 12
Primary contact name LANCE NESS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LANCE NESS
PRESIDENT
2045 BRUNSWICK AVENUE NORTH
GOLDEN VALLEY MN 55422

Officer/Director/Trustee Two

VERNON WAGNER
VICE PRESIDENT
5221 42ND AVENUE SOUTH
MINNEAPOLIS MN 55417

Officer/Director/Trustee Three

PETER PEROVICH
TREASURER
5435 152ND AVENUE NW
RAMSEY MN 55303

Organization’s website WWW.ANGLERSFORHABITAT.COM
Organization’s email INFO@ANGLERSFORHABITAT.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2015
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C32 - Water Resource, Wetlands Conservation and Management
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 Yes
Compensation of Officer director trustee No
Donation of funds Yes
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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