FORM 1023-EZ for PILOT KNOB PRESERVATION ASSOCIATION

Field Data
EIN 20-0716982
Case Number EO-2014310-000421
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PILOT KNOB PRESERVATION ASSOCIATION
Organization’s Mailing Address PO BOX 50823
City MENDOTA
State MN
ZIP 55150-0823
Accounting period End 12
Primary contact name GAIL LEWELLAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GAIL LEWELLAN
CHAIR
656 SIBLEY MEMORIAL HWY
MENDOTA HEIGHTS MN 55118

Officer/Director/Trustee Two

LINDA BROWN
ASSOCIATE CHAIR
516 HUMBOLDT AVE
ST. PAUL MN 55107

Officer/Director/Trustee Three

BRUCE WHITE
SECRETARY
662 CHEROKEE
ST. PAUL MN 55107

Officer/Director/Trustee Four

JENNIFER OTTO
TREASURER
1954 SOUTH LANE
MENDOTA HEIGHTS MN 55118

Organization’s website WWW.PILOTKNOBPRESERVATION.ORG
Organization’s email INFO@PILOTKNOBPRESERVATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2003
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C34 - Land Resources Conservation
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 Yes
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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