FORM 1023-EZ for FROG LAKE HERITAGE NONPROFIT CORPORATION

Field Data
EIN 87-2147040
Case Number EO-2021228-000384
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FROG LAKE HERITAGE NONPROFIT CORPORATION
Organization’s Mailing Address 18 SOUTH OREGON AVE
City MORRIS
State MN
ZIP 56267
Accounting period End 12
Primary contact name VICTOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VICTOR BRUER
TREASURER
18 SOUTH OREGON AVE
MORRIS MN 56267

Officer/Director/Trustee Two

MAURICE HOLSLIN
PRESIDENT
53414 270TH ST
ALBERTA MN 56207

Officer/Director/Trustee Three

DLEROY MATHISON
BOARD MEMBER
20340 COUNTY RD 131
DETROIT LAKES MN 56501

Officer/Director/Trustee Four

DONNA EYSTAD
BOARD MEMBER
109 W 5TH ST
DONNELLY MN 56235

Officer/Director/Trustee Five

MARCIA SCHROEDER
SECRETARY
25602 COUNTY ROAD 9
ALBERTA MN 56207

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2021
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y12 - Fund Raising and/or Fund Distribution
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 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 VICTOR BRUER
Signature Title TREASURER
Signature Date 8/12/2021

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