FORM 1023-EZ for LAKE JANE AIS ASSOCIATION

Field Data
EIN 83-3953090
Case Number EO-2021021-000093
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE JANE AIS ASSOCIATION
Organization’s Mailing Address 9077 JANE RD N
City LAKE ELMO
State MN
ZIP 55042-8515
Accounting period End 12
Primary contact name DENISE ELLIOTT THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENISE ELLIOTT THOMPSON
TREASURER
9077 JANE RD N
LAKE ELMO MN 55042-8515

Officer/Director/Trustee Two

LEEANN LEITCH
PRESIDENT
9025 JANE RD N
LAKE ELMO MN 55042-8515

Officer/Director/Trustee Three

STEVEN MEISTERLING MEISTERLING
BOARD MEMBER
8950 LAKE JANE TRAIL
LAKE ELMO MN 55042-8515

Officer/Director/Trustee Four

KEITH VON SCHMIDT-PAULI
VICE PRESIDENT
9109 JANE RD N
LAKE ELMO MN 55042-8515

Officer/Director/Trustee Five

DARYL VOSSBERG
SECRETARY
9430 JANE RD N
LAKE ELMO MN 55042-8515

Organization’s website
Organization’s email LAKEJANEASSOCIATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/1984
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: No
Religious: No
Educational: No
Scientific: Yes
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 No
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 DENISE ELLIOTT THOMPSON
Signature Title TREASURER
Signature Date 11/29/2020

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