FORM 1023-EZ for KIMBALL LAKES CONSERVATION ASSOCIATION INC

Field Data
EIN 84-2628168
Case Number EO-2019316-000084
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIMBALL LAKES CONSERVATION ASSOCIATION INC
Organization’s Mailing Address 4435 WOLVERTON PLACE
City ORONO
State MN
ZIP 55359
Accounting period End 12
Primary contact name DAVID GRANDSTRAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID GRANDSTRAND
PRESIDENT
4435 WOLVERTON PLACE
ORONO MN 55359

Officer/Director/Trustee Two

KAREN ELLINGSON
VICE PRESIDENT
615 GRIFFIN CIRCLE
CARVER MN 55315

Officer/Director/Trustee Three

KARIN GULBRANDSEN
SECRETARY TREASURER
N13479 KIMBALL LAKE ROAD
MINONG WI 54859

Officer/Director/Trustee Four

RUSTY ALEXANDER
BOARD MEMBER
W 7988 ST CROIX TRAIL RD
MINONG WI 54859

Officer/Director/Trustee Five

PAUL BOURGET
BOARD MEMBER
738 GHERTY LANE
HUDSON WI 54016

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/08
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
Organization’s purpose Charitable: No
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 DAVID GRANDSTRAND
Signature Title PRESIDENT
Signature Date 11/7/19

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