FORM 1023-EZ for LAKEVILLE FISHING TEAM

Field Data
EIN 81-2823727
Case Number EO-2018129-000131
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKEVILLE FISHING TEAM
Organization’s Mailing Address 12201 175TH STREET WEST
City LAKEVILLE
State MN
ZIP 55044
Accounting period End 12
Primary contact name DAVID SCHUECK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF VANDEN BUSCH
DIRECTOR AND PRESIDENT
19371 JERSEY AVE
LAKEVEILLE MN 55044

Officer/Director/Trustee Two

DAVID SCHUECK
DIRECTOR AND VICE PRESIDENT
12201 175TH STREET WEST
LAKEVILLE MN 55044

Officer/Director/Trustee Three

SUE STERNS
DIRECTOR AND TREASUER
16851 HUNTINGTON PATH
LAKEVILLE MN 55044

Officer/Director/Trustee Four

MICHELE FITZNER
SECRETARY
17752 GALERY DRIVE
FARMINGTON MN 55024

Officer/Director/Trustee Five

JON ERPELDING
DIRECTOR
19561 CEDAR COURT
PRIOR LAKE MN 55372

Organization’s website HTTPS://LAKEVILLEFISHINGTEAM.SHUTTERFLY.COM
Organization’s email LFTHEADCOACH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/17
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
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 No
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 DAVID SCHUECK
Signature Title DIRECTOR AND VICE PRESIDENT
Signature Date 4/29/18

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