FORM 1023-EZ for MINNESOTA LIONS MISSIONS INC

Field Data
EIN 85-2903202
Case Number EO-2020307-000713
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MINNESOTA LIONS MISSIONS INC
Organization’s Mailing Address 320 AUGUSTA AVE
City PAYNESVILLE
State MN
ZIP 56362
Accounting period End 6
Primary contact name JEFF THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF THOMPSON
CHAIRPERSON
320 AUGUSTA AVE
PAYNESVILLE MN 56362

Officer/Director/Trustee Two

DAN GOLTZ
VICE CHAIR
702 SPRING BROOK DR
WINONA MN 55987

Officer/Director/Trustee Three

NANCY GOLTZ
SECRETARY
702 SPRING BROOK DR
WINONA MN 55987

Officer/Director/Trustee Four

DAVID MOEN
TREASURER
12408 SKYLINE DR
BURNSVILLE MN 55337

Officer/Director/Trustee Five

JAMES MULROY
EXECUTIVE CHAIRPERSON
13585 182ND LN NW
ELK RIVER MN 55330

Organization’s website
Organization’s email mnlioinsmissions@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2020
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P86 - Blind/Visually Impaired Centers, Services
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 Yes
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 JEFF THOMPSON
Signature Title CHAIRPERSON
Signature Date 10/30/2020

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