FORM 1023-EZ for ISLAND PARK VILLAGE HALL PRESERVATION SOCIETY

Field Data
EIN 83-1153262
Case Number EO-2018193-000371
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ISLAND PARK VILLAGE HALL PRESERVATION SOCIETY
Organization’s Mailing Address 3018 ISLAND VIEW DRIVE
City MOUND
State MN
ZIP 55364
Accounting period End 12
Primary contact name CLAUDIA LACY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLAUDIA LACY
OFFICER
5940 LORING DR
MINNETRISTA MN 55364

Officer/Director/Trustee Two

FERNER JOHNSON
OFFICER
3018 ISLAND VIEW DRIVE
MOUND MN 55364

Officer/Director/Trustee Three

HOLLY THUMAN
OFFICER
5907 HAWTHORNE ROAD
MOUND MN 55364

Officer/Director/Trustee Four

KARLA SKEIE
OFFICER
4844 MANCHESTER ROAD
MOUND MN 55364

Officer/Director/Trustee Five

BART SKEIE
OFFICER
4844 MANCHESTER ROAD
MOUND MN 55364

Organization’s website WWW.CITYOFMOUND.COM
Organization’s email ISLANDPARKVILLAGEHALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 CLAUDIA LACY
Signature Title OFFICER
Signature Date 7/10/18

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