FORM 1023-EZ for LAWLER AREA COMMUNITY CLUB

Field Data
EIN 46-2715335
Case Number EO-2015142-000527
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAWLER AREA COMMUNITY CLUB
Organization’s Mailing Address 17948 380TH ST
City MCGREGOR
State MN
ZIP 55760
Accounting period End 12
Primary contact name HEDY HIETALATI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEPHEN SWEDBERG
PRESIDENT
17809 380TH ST
MCGREGOR MN 55760

Officer/Director/Trustee Two

ANTHONY MAY
VICE-PRESIDENT
655 21ST AVE N
S. ST. PAUL MN 55075

Officer/Director/Trustee Three

SARA ZRUST
SECRETARY
19745 380TH ST
MCGREGOR MN 55760

Officer/Director/Trustee Four

HEDY HIETALATI
TREASURER
35427 KESTREL AVE
MCGREGOR MN 55760

Officer/Director/Trustee Five

SAM SWEDBERG
DIRECTOR
17948 380TH ST
MCGREGOR MN 55760

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/2013
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 Yes
Gaming Activity Yes
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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