FORM 1023-EZ for NORTH LAKES ACADEMY PARENT TEACHERORGANIZATION

Field Data
EIN 85-2888105
Case Number EO-2021064-002009
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH LAKES ACADEMY PARENT TEACHERORGANIZATION
Organization’s Mailing Address 4576 232ND STREET NORTH
City FOREST LAKE
State MN
ZIP 55025
Accounting period End 12
Primary contact name KELLIE HALLSTROM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLIE HALLSTROM
TREASURER
1921 145TH AVE NE
HAM LAKE MN 55304

Officer/Director/Trustee Two

ANNABELLA PAHL
PRESIDENT
31658 FOXHILL AVE
STACY MN 55079

Officer/Director/Trustee Three

HEATHER MARTINSON
VICE PRESIDENT
1321 PINTO DRIVE NW
ISANTI MN 55040

Officer/Director/Trustee Four

KATELYN FITZGERALD
SECRETARY
5385 STACY TRAIL APT 201
STACY MN 55079

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/2007
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 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 KELLIE HALLSTROM
Signature Title TREASURER
Signature Date 1/14/2021

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