FORM 1023-EZ for LAKE COUNTRY ATV RIDERS

Field Data
EIN 83-3990539
Case Number EO-2020064-000496
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE COUNTRY ATV RIDERS
Organization’s Mailing Address 324 MCKINLEY ST SW
City STAPLES
State MN
ZIP 56441
Accounting period End 12
Primary contact name PAUL DEBOER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL DEBOER
PRESIDENT
324 MCKINLEY ST SW
STAPLES MN 56441

Officer/Director/Trustee Two

BOB BODINE
VICE PRESIDENT
502 WISCONSIN AVE SW
STAPLES MN 56479

Officer/Director/Trustee Three

JENNIFER DEBOER
SECRETARY
324 MCKINLEY ST SW
STAPLES MN 56441

Officer/Director/Trustee Four

CATHY HOLKER
TREASURER
1303 4TH ST NE
STAPLES MN 56479

Officer/Director/Trustee Five

MARK HARTUNG
TRUSTEE
409 ERIE AVE
CROSBY MN 56441

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2019
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 PAUL DEBOER
Signature Title PRESIDENT
Signature Date 3/2/2020

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