FORM 1023-EZ for NORTHERN SIEGE LACROSSE INC

Field Data
EIN 83-2258843
Case Number EO-2018318-000297
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN SIEGE LACROSSE INC
Organization’s Mailing Address PO BOX 57
City SAWYER
State MN
ZIP 55780-5000
Accounting period End 12
Primary contact name DAVID CADOTTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SEAN HALL
PRESIDENT
1006 CARLTON AVE
CLOQUET MN 55720-1842

Officer/Director/Trustee Two

JEN SALETEL
VICE PRESIDENT
315 GOAD DR
WRENSHALL MN 55797-5005

Officer/Director/Trustee Three

DAVID CADOTTE
TREASURER
2894 COUNTY RD 144
CARLTON MN 55718-9123

Officer/Director/Trustee Four

JESSICA LOONS
SECRETARY
2109 CARLTON AVE
CLOQUET MN 55720-2134

Officer/Director/Trustee Five

MICHAEL VUCHETICH
MEMBER AT LARGE
5425 N TISCHER RD
DULUTH MN 55804-9703

Organization’s website HTTPS://TSHQ.BLUESOMBRERO.COM/NORTHERNSIEGE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 MICHAEL VUCHETICH
Signature Title MEMBER AT LARGE
Signature Date 11/12/18

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