FORM 1023-EZ for LAKE HERMAN DELEVLOPMENT ASSCOIATION

Field Data
EIN 47-5233383
Case Number EO-2016112-000185
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKE HERMAN DELEVLOPMENT ASSCOIATION
Organization’s Mailing Address 722 SE 3RD ST
City MADIOSN
State SD
ZIP 57042
Accounting period End 5
Primary contact name JOHN MARKO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEVE WILLIAMS
PRESIDENT
23804 454TH AVE
MADISON SD 57042

Officer/Director/Trustee Two

DALE ENGLAND
VICE PRESIDENT
1121 BAT RD
MADISON SD 57042

Officer/Director/Trustee Three

KATHEY ENGLAND
SECETORY
1121BAY RD
MADISON SD 50742

Officer/Director/Trustee Four

DOUG GROCE
TREASURE
1540 WEST LAKE DRIVE
MADISON SD 57042

Officer/Director/Trustee Five

JOHN MARKO
DIRECTOR
722 SE 3RD ST
MADISON SD 57042

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/1987
Organization Incorporation State SD
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: Yes
Scientific: No
Literary: No
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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