FORM 1023-EZ for LAKE JOSEPHINE IMPROVEMENT ASSOCIATION

Field Data
EIN 46-4963153
Case Number EO-2017129-000186
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKE JOSEPHINE IMPROVEMENT ASSOCIATION
Organization’s Mailing Address 1245 JOSEPHINE RD
City ROSEVILLE
State MN
ZIP 55113-1804
Accounting period End 12
Primary contact name MARK MAHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT NEWCOME
PRESIDENT
1245 JOSEPHINE ROAD
ROSEVILLE MN 55113-1804

Officer/Director/Trustee Two

RICHARD HANSON
TREASURER
3254 HAMLINE AVENUE NORTH
ARDEN HILLS MN 55112

Officer/Director/Trustee Three

MARK MAHER
DIRECTOR
1275 JOSEPHINE RD
ROSEVILLE MN 55113-1804

Officer/Director/Trustee Four

PAM NEWCOME
SECRETARY
1245 JOSEPHINE ROAD
ROSEVILLE MN 55113-1804

Officer/Director/Trustee Five

MARIBELLE CUSHMAN
DIRECTOR
1265 JOSEPHINE ROAD
ROSEVILLE MN 55113-1804

Organization’s website LAKEJOSEPHINEIMPROVEMENTASSOCIATION.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/1996
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: 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 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
Signature Title
Signature Date

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