FORM 1023-EZ for MDEWAKANTON LITTLE CROW LEGACY LLC

Field Data
EIN 83-2590259
Case Number EO-2019030-000201
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MDEWAKANTON LITTLE CROW LEGACY LLC
Organization’s Mailing Address 453 1ST ST EAST
City GAYLORD
State MN
ZIP 55334
Accounting period End 12
Primary contact name MARIA CERMAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSE CERMAK
PRESIDENT
1016 WEST STATE ST
BELLE PLAINE MN 56011

Officer/Director/Trustee Two

STEVE CERMAK
VICE PRESIDENT
502 EAST ELMWOOD ST
ARLINGTON MN 55307

Officer/Director/Trustee Three

MYRON CERMAK
SECRETARY
15525 WEST 250TH ST
BELLE PLAINE MN 56011

Officer/Director/Trustee Four

DAWN DAHLSTROM
TREASURER
PO BOX 196
NEW AUBURN MN 55336

Officer/Director/Trustee Five

MARIA CERMAK
NON-VOTING AT LARGE/EXECUTIVE
453 1ST ST EAST
GAYLORD MN 55334

Organization’s website
Organization’s email MDEWAKANTON1837@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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 Yes
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARIA CERMAK
Signature Title NON-VOTING AT LARGE/EXECUTIVE
Signature Date 12/21/18

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