FORM 1023-EZ for LAKEVILLE ROBOTICS

Field Data
EIN 47-4669654
Case Number EO-2015216-000166
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKEVILLE ROBOTICS
Organization’s Mailing Address 17291 HAYES AVE
City LAKEVILLE
State MN
ZIP 55044
Accounting period End 12
Primary contact name DARREN C HESTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DARREN HESTER
OFFICER
17291 HAYES AVE
LAKEVILLE MN 55044

Officer/Director/Trustee Two

NICHOLE HESTER
OFFICER
17291 HAYES AVE
LAKEVILLE MN 55044

Officer/Director/Trustee Three

MAUREEN CARRIGAN
OFFICER
19624 IRELAND WAY
LAKEVILLE MN 55044

Officer/Director/Trustee Four

SCOTT MCDOWELL
OFICER
16967 HUBBARD TRAIL
LAKEVILLE MN 55044

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/2015
Organization Incorporation State
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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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