FORM 1023-EZ for VISIBLE VERSE OUTDOOR MINISTRY

Field Data
EIN 82-3209133
Case Number EO-2017303-000280
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VISIBLE VERSE OUTDOOR MINISTRY
Organization’s Mailing Address 4051 HUNTERS LANE
City WEBSTER
State MN
ZIP 55088
Accounting period End 12
Primary contact name BRIAN LUBINSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN LUBINSKI
CO-CHAIR
4051 HUNTERS LANE
WEBSTER MN 55088

Officer/Director/Trustee Two

MARY LUBINSKI
CO-CHAIR
4051 HUNTERS LANE
WEBSTER MN 55088

Officer/Director/Trustee Three

BILL MENGERSHAUSEN
TREASURER
20426 LYNN DRIVE
PRIOR LAKE MN 55372

Officer/Director/Trustee Four

KAROLYN MENGERSHAUSEN
MEMBER AT LARGE
20426 LYNN DRIVE
PRIOR LAKE MN 55372

Officer/Director/Trustee Five

CRAIG JENTINK
MEMBER AT LARGE
3810 S OURAY WAY
AURORA CO 80013

Organization’s website VISIBLEVERSE.ORG
Organization’s email BRIAN@VISIBLEVERSE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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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