FORM 1023-EZ for LONG LAKE WATERS ASSOCIATION

Field Data
EIN 82-1966981
Case Number EO-2017228-000382
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LONG LAKE WATERS ASSOCIATION
Organization’s Mailing Address PO BOX 195
City LONG LAKE
State MN
ZIP 55356
Accounting period End 12
Primary contact name JANE DAVIDSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CASSANDRA ORDWAY
PRESIDENT
1145 COUNTY ROAD 6
LONG LAKE MN 55356

Officer/Director/Trustee Two

JANE DAVIDSON
VICE PRESIDENT AND TREASURER
1020 OLD LONG LAKE RD
WAYZATA MN 55391

Officer/Director/Trustee Three

MEGAN DAYTON
MEMBER AT LARGE
1305 COUNTY ROAD 6
LONG LAKE MN 55356

Officer/Director/Trustee Four

SAMANTHA MULDOON
MEMBER AT LARGE
1801 WEST FARM RD
LONG LAKE MN 55356

Officer/Director/Trustee Five

CHRISTOPHER JONES
SECRETARY
2320 LONGVIEW CIRCLE
LONG LAKE MN 55356

Organization’s website WWW.LONGLAKEWATERS.ORG
Organization’s email LONGLAKEWATERS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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