FORM 1023-EZ for THE LUXEMBOURG HERITAGE SOCIETY OFELBA MINNESOTA

Field Data
EIN 82-1794522
Case Number EO-2019140-000192
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE LUXEMBOURG HERITAGE SOCIETY OFELBA MINNESOTA
Organization’s Mailing Address 15708 LARSON ROAD
City ALTURA
State MN
ZIP 55910
Accounting period End 12
Primary contact name MARILYN KOEPSELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM ROSS
CHAIR
15708 LARSON ROAD
ALTURA MN 55910

Officer/Director/Trustee Two

HELEN OLSON
VICE CHAIR
1210 MAIN STREET
ELBA MN 55910

Officer/Director/Trustee Three

MARILYN KOEPSELL
SECRETARY
408 NORTH WASHINGTON STREET
WATERTWON WI 53098

Officer/Director/Trustee Four

NANCY ROBERTS
TREASURER
12008 WHITEWATER DRIVE
ALTURA MN 55910

Officer/Director/Trustee Five

SCOTT JENSEN
DIRECTOR
1145 FAIRWATER DRIVE
ELBA MN 55910

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/17
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: 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 MARILYN KOEPSELL
Signature Title SECRETARY
Signature Date 5/16/19
EIN 82-1794522
Case Number EO-2019140-000192
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE LUXEMBOURG HERITAGE SOCIETY OF ELBA MINNESOTA
Organization’s Mailing Address 15708 LARSON ROAD
City ALTURA
State MN
ZIP 55910
Accounting period End 12
Primary contact name MARILYN KOEPSELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM ROSS
CHAIR
15708 LARSON ROAD
ALTURA MN 55910

Officer/Director/Trustee Two

HELEN OLSON
VICE CHAIR
1210 MAIN STREET
ELBA MN 55910

Officer/Director/Trustee Three

MARILYN KOEPSELL
SECRETARY
408 NORTH WASHINGTON STREET
WATERTWON WI 53098

Officer/Director/Trustee Four

NANCY ROBERTS
TREASURER
12008 WHITEWATER DRIVE
ALTURA MN 55910

Officer/Director/Trustee Five

SCOTT JENSEN
DIRECTOR
1145 FAIRWATER DRIVE
ELBA MN 55910

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/17
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: 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 MARILYN KOEPSELL
Signature Title SECRETARY
Signature Date 5/16/19

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