FORM 1023-EZ for NORTHLAND FRATERNAL ORDER OF LEATHERHEADS SOCIETY

Field Data
EIN 47-2432103
Case Number EO-2015128-000497
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHLAND FRATERNAL ORDER OF LEATHERHEADS SOCIETY
Organization’s Mailing Address 1228 5TH AVE SOUTH
City SOUTH ST PAUL
State MN
ZIP 55075
Accounting period End 12
Primary contact name BRANDON BUCKLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NICK LEDIN
PRESIDENT
4929 BISSET LANE
INVER GROVE HEIGHTS MN 55076

Officer/Director/Trustee Two

JOSHUA NELSON
VICE PRESIDENT
9132 CLINTON AVE SOUTH
BLOOMINGTON MN 55420

Officer/Director/Trustee Three

BRANDON BUCKLEY
SECRETARY/TREASURER
1228 5TH AVE SOUTH
SOUTH ST PAUL MN 55075

Officer/Director/Trustee Four

BECKI WHITE
TRUSTEE
8700 BAYARD COURT
EDEN PRAIRIE MN 55347

Officer/Director/Trustee Five

SHEA CHWIALKOWSKI
TRUSTEE
6336 JOSEPHINE AVE
EDINA MN 55439

Organization’s website WWW.NORTHLANDFOOLS.COM
Organization’s email INFO@NORTHLANDFOOLS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M03 - Professional Societies, Associations
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
Signature Title
Signature Date

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