FORM 1023-EZ for LAKEVILLE CYCLING ASSOCIATION INC

Field Data
EIN 81-4612158
Case Number EO-2016362-000333
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKEVILLE CYCLING ASSOCIATION INC
Organization’s Mailing Address 20221 KENSINGTON WAY
City LAKEVILLE
State MN
ZIP 55044
Accounting period End 12
Primary contact name RON ECKERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVEN KNOWLTON
CHIEF EXECUTIVE OFFICER
20221 KENSINGTON WAY
LAKEVILLE MN 55044

Officer/Director/Trustee Two

RON ECKERSON
CHIEF FINANCIAL OFFICER
20249 KENSINGTON WAY
LAKEVILLE MN 55044

Officer/Director/Trustee Three

LARRY SAUBER
CHIEF OPERATING OFFICER
20235 KENSINGTON WAY
LAKEVILLE MN 55044

Officer/Director/Trustee Four

ROBERT LEGLER
BOARD MEMBER
20363 JUPITER WAY
LAKEVILLE MN 55044

Officer/Director/Trustee Five

CLINT SWENSON
BOARD MEMBER
18969 IRON RIVER COURT
LAKEVILLE MN 55044

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
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
Signature Title
Signature Date

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