FORM 1023-EZ for LAURENCIAS VICTORY

Field Data
EIN 46-5505588
Case Number EO-2015061-000349
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAURENCIAS VICTORY
Organization’s Mailing Address 12201 ARMITAGE AVE NW
City MONTICELLO
State MN
ZIP 55362
Accounting period End 12
Primary contact name KATRINA WITSCHEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATRINA WITSCHEN
PRESIDENT
12201 ARMITAGE AVE NW
MONTICELLO MN 55362

Officer/Director/Trustee Two

ANNA MRDUTT
VICE-PRESIDENT
22274 183RD ST NW
BIG LAKE MN 55309

Officer/Director/Trustee Three

LAURA NIELSEN
SECRETARY
5382 KAHL AVENUE
ALBERTVILLE MN 55301

Officer/Director/Trustee Four

MATT WITSCHEN
TREASURER
12201 ARMITAGE AVE NW
MONTICELLO MN 55362

Officer/Director/Trustee Five

TESSI AVILA
BOARD MEMBER
690 MINNESOTA AVENUE APT 105
BIG LAKE MN 55309

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/7/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 Yes
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
Signature Title
Signature Date

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