FORM 1023-EZ for PORTAGE CHAIN OF LAKES ASSOCIATION

Field Data
EIN 84-2955140
Case Number EO-2019270-000186
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PORTAGE CHAIN OF LAKES ASSOCIATION
Organization’s Mailing Address 2017 DEEP PORTAGE DRIVE NW
City BACKUS
State MN
ZIP 56435
Accounting period End 12
Primary contact name SCOTT FULLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARREL ZENK
PRESIDENT
2073 DEEP PORTAGE DRIVE NW
BACKUS MN 56435

Officer/Director/Trustee Two

DOUGLAS WARDELL
VICE PRESIDENT
2017 DEEP PORTAGE DRIVE NW
BACKUS MN 56435

Officer/Director/Trustee Three

MARY LACHO
SECRETARY
2051 21ST AVE NW
BACKUS MN 56435

Officer/Director/Trustee Four

SCOTT FULLER
BOARD MEMBER
1407 4 1/2 AVE N
SAUK RAPIDS MN 56379

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/16
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SCOTT FULLER
Signature Title BOARD MEMBER
Signature Date 9/25/19

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