Civic Intelligence

Minnehaha Lodge No 165 Af & Am

EIN 41-0123157 • 501(c)10 • Minneapolis, MN

Profile

This is a fraternal organizatin with 261 members. The organization provides a lodge hall where members meet as friends & brothers. This lodge along with several other lodges throughout mn contribute to the masonic cancer center & u of mn childrens hosp

5149 Bloomington Ave SMinneapolis, MN 55417
Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

65th percentile

0.00x

Higher debt load relative to assets than 65% of similar nonprofits.

501(c)10 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

65th percentile

0.02x

Higher debt load relative to revenue than 65% of similar nonprofits.

501(c)10 • $1M-$5M nonprofits • Source year 2024

Net Margin

54th percentile

23%

Higher net margin than 54% of similar nonprofits.

501(c)10 • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

84th percentile

$13,800

Higher top officer pay than 84% of similar nonprofits.

Top officer pay equals 9.2% of source-year revenue.

501(c)10 • $1M-$5M nonprofits • Source year 2024

Asset Growth

34th percentile

2.7%

Faster asset growth than 34% of similar nonprofits.

501(c)10 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

88th percentile

122%

Faster revenue growth than 88% of similar nonprofits.

501(c)10 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Assets

Up

$1,283,453

Up $33,389 (+2.7%) from 2023

Liabilities

Down

$3,353

Down $353 (-9.5%) from 2023

Net Assets

Up

$1,280,100

Up $33,742 (+2.7%) from 2023

Revenue

Up

$149,354

Up $82,075 (+122%) from 2023

Expenses

Up

$115,612

Up $27,301 (+31%) from 2023

Net Income

Up

$33,742

Up $54,774 (+260%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$1.5M$1.0M$500K$0Assets 2011: $1,295,038Liabilities 2011: $5,911Net Assets 2011: $1,289,1272011Assets 2012: $1,194,010Liabilities 2012: $4,127Net Assets 2012: $1,189,8832012Assets 2013: $1,092,139Liabilities 2013: $2,925Net Assets 2013: $1,089,2142013Assets 2014: $1,165,431Liabilities 2014: $4,540Net Assets 2014: $1,160,8912014Assets 2015: $1,193,663Liabilities 2015: $4,147Net Assets 2015: $1,189,5162015Assets 2016: $1,256,496Liabilities 2016: $4,625Net Assets 2016: $1,251,8712016Assets 2017: $1,309,746Liabilities 2017: $7,697Net Assets 2017: $1,302,0492017Assets 2018: $1,337,048Liabilities 2018: $7,611Net Assets 2018: $1,329,4372018Assets 2019: $1,307,446Liabilities 2019: $5,999Net Assets 2019: $1,301,4472019Assets 2020: $1,264,991Liabilities 2020: $2,162Net Assets 2020: $1,262,8292020Assets 2021: $1,288,341Liabilities 2021: $2,797Net Assets 2021: $1,285,5442021Assets 2022: $1,270,988Liabilities 2022: $3,598Net Assets 2022: $1,267,3902022Assets 2023: $1,250,064Liabilities 2023: $3,706Net Assets 2023: $1,246,3582023Assets 2024: $1,283,453Liabilities 2024: $3,353Net Assets 2024: $1,280,1002024

Highlighted filing

2024

Assets$1,283,453
Liabilities$3,353
Net Assets$1,280,100

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$200K$100K$0-$100K-$200KRevenue 2011: -$11,756Expenses 2011: $109,200Net Income 2011: -$120,9562011Revenue 2012: $17,382Expenses 2012: $116,626Net Income 2012: -$99,2442012Revenue 2013: $9,040Expenses 2013: $109,709Net Income 2013: -$100,6692013Revenue 2014: $170,867Expenses 2014: $99,190Net Income 2014: $71,6772014Revenue 2015: $121,760Expenses 2015: $93,135Net Income 2015: $28,6252015Revenue 2016: $157,916Expenses 2016: $95,561Net Income 2016: $62,3552016Revenue 2017: $129,443Expenses 2017: $79,265Net Income 2017: $50,1782017Revenue 2018: $114,288Expenses 2018: $86,900Net Income 2018: $27,3882018Revenue 2019: $56,264Expenses 2019: $84,255Net Income 2019: -$27,9912019Revenue 2020: $58,737Expenses 2020: $97,355Net Income 2020: -$38,6182020Revenue 2021: $102,450Expenses 2021: $79,735Net Income 2021: $22,7152021Revenue 2022: $82,853Expenses 2022: $101,007Net Income 2022: -$18,1542022Revenue 2023: $67,279Expenses 2023: $88,311Net Income 2023: -$21,0322023Revenue 2024: $149,354Expenses 2024: $115,612Net Income 2024: $33,7422024

Highlighted filing

2024

Revenue$149,354
Expenses$115,612
Net Income$33,742

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$1.28$0.00$1.28$0.15$0.12$0.03
2023Detailed filing. Detailed filing data is available for this year.$1.25$0.00$1.25$0.07$0.09$0.02
2022Detailed filing. Detailed filing data is available for this year.$1.27$0.00$1.27$0.08$0.10$0.02
2021Detailed filing. Detailed filing data is available for this year.$1.29$0.00$1.29$0.10$0.08$0.02
2020Detailed filing. Detailed filing data is available for this year.$1.26$0.00$1.26$0.06$0.10$0.04
2019Summary only. Only limited summary data is available for this year.$1.31$0.01$1.30$0.06$0.08$0.03
2018Summary only. Only limited summary data is available for this year.$1.34$0.01$1.33$0.11$0.09$0.03
2017Summary only. Only limited summary data is available for this year.$1.31$0.01$1.30$0.13$0.08$0.05
2016Summary only. Only limited summary data is available for this year.$1.26$0.00$1.25$0.16$0.10$0.06
2015Summary only. Only limited summary data is available for this year.$1.19$0.00$1.19$0.12$0.09$0.03
2014Summary only. Only limited summary data is available for this year.$1.17$0.00$1.16$0.17$0.10$0.07
2013Summary only. Only limited summary data is available for this year.$1.09$0.00$1.09$0.01$0.11$0.10
2012Summary only. Only limited summary data is available for this year.$1.19$0.00$1.19$0.02$0.12$0.10
2011Summary only. Only limited summary data is available for this year.$1.30$0.01$1.29$0.01$0.11$0.12
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
May 13, 2025
Return Version
2024v5.1
Gross Receipts
$1,925,884
Mission and Program Overview

Mission

This is a fraternal organizatin with 261 members. The organization provides a lodge hall where members meet as friends & brothers. This lodge along with several other lodges throughout mn contribute to the masonic cancer center & u of mn childrens hosp

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$1,183,014$1,178,282▼ $4,732
Savings and Temporary Cash Investments$53,715$50,219▼ $3,496
Cash and Non-Interest-Bearing Accounts$7,095$48,712▲ $41,617
Land, Buildings, and Equipment, Net$6,240$6,240→ $0
Total Assets$1,250,064$1,283,453▲ $33,389
Liabilities
Accounts Payable and Accrued Expenses$3,706$3,353▼ $353
Total Liabilities$3,706$3,353▼ $353
Net Assets / Fund Balance
Net Assets With Donor Restrictions$680,971$680,525▼ $446
Net Assets Without Donor Restrictions$565,387$599,575▲ $34,188
Total Net Assets Fund Balance$1,246,358$1,280,100▲ $33,742
Total Liabilities and Net Assets / Fund Balance$1,250,064$1,283,453▲ $33,389

Asset Categories

AssetBook ValueDepreciationBasis
Buildings-$268,955$268,955
Other Land Buildings-$41,062$41,062
Land$6,240-$6,240
Leasehold Improvements-$6,189$6,189
Compensation and Service Providers

Employees

NameTitleBaseTotal
Mark HailerSecretary$13,800$13,800
Gary OdegardTreasurer$3,900$3,900

Board Members and Trustees

NameTitle
Carl LidstromTrustee
Foster SolemTrustee
Steve SandbergTrustee
M Wiley SmithChaplain
Ian WinchesterJunior Deacon
Henry BoettcherJunior Steward
David GallowayJunior Warden
Jim WhiteLodge Education Officer
Brett WagnerMarshall
Douglas BeachMaster
Jason LalondeSenior Deacon
Mitch EllingsworthSenior Steward
David HartmanSenior Warden
Luke EllingsonTyler
Revenue and Support

Revenue Composition

Contributions and Grants
$25,220
Program Service Revenue
$0
Investment Income
$161,229
Other Revenue
$-37,095
Change in Net Assets
$33,742
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$96,461
Salaries, Compensation, and Employee Benefits$19,151
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Occupancy$64,829--$64,829
Fees for Services Other$26,726--$26,726
Current Officers, Directors, Trustees, and Key Employees-$17,700-$17,700
Office Expenses-$4,906-$4,906
Payroll Taxes-$1,451-$1,451
Total Functional Expenses$91,555$24,057$0$115,612
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Members or stockholder classes and rights Part VI line 6

The organization has members.

Member election for additional members Part VI line 7A

At the annual meeting, the members elect thee master, senior and junior wardens, treasurer, secretary and one new trustee. The lodge office is usually open monday through friday from 9am to noon. Any individual can come in during these hours to review the form 990 and financial documents.

Governing body decisions Part VI line 7B

The members also vote on any by-law changes

Form 990 governing body review Part VI line 11

The trustees meet the first wednesday to review the completed form 990.

Form 990 availability to public Part VI line 18

The lodge office is usually open monday through friday from 9am to noon. Any individual can come in during these hours to review the form 990 and financial documents.

Governing documents etc available to public Part VI line 19

The lodge office is usually open monday through friday from 9am to noon. Any individual can come in during these hours to review the form 990 and financial documents.

Filing and Contact Details

Filer

Filer Name
Minnehaha Lodge No 165 Af & Am
EIN
41-0123157
In Care Of
% GARY ODEGARD
Phone
6127223103
Address
5149 BLOOMINGTON AVE S, MINNEAPOLIS, MN 55417

Signing Officer

Name
Gary Odegard
Title
Treasurer
Phone
6516669942
Signed
2025-05-13
Discuss with paid preparer
Yes

Organization Details

Formed
1886
Legal Domicile
Mn
Voting Board Members
5
Independent Board Members
0
Employees
2
Volunteers
100

Preparer

Firm
Heimdal Tax and Financial Services
Address
8353 210th St West, Lakeville, MN 55044-8504
Preparer
Pamela S Heimdal Ea
Phone
9524691428
Supplemental Narrative

Additional Explanations

List of other fees for services expenses Part IX line 11G

THERE ARE NO OTHER FEES.

List of other expenses Part IX line 24E

Lodge costs: grand lodge percapita $10904 newsletter 5190 scholarships 5000 dinners 4239 misc 1393 total lodge costs $26726

Part III response or note to any other line in Part III

Providing a building to hold meetings and a place where members can gather for fellowship purposes and to initiate new memvers. These costs are broken down into two categories. Building and grounds and lodge building and grounds costs: taxes $17495 utilities 21332 insurance 11065 repair maint 70892 lawn and snow 2948 supplies 211

Part IX response or note to any line in Part IX

Lodge costs: grand lodge per capita $10904 newsletter 5190 scholarship 5000 dinners 4239 misc 1393 total lodge costs $26726

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IRS990/Form990PartVIISectionAGrp/TitleTxt6JUNIOR WARDEN
IRS990/Form990PartVIISectionAGrp/TitleTxt7SENIOR DEACON
IRS990/Form990PartVIISectionAGrp/TitleTxt8JUNIOR DEACON
IRS990/Form990PartVIISectionAGrp/TitleTxt9CHAPLAIN
IRS990/Form990PartVIISectionAGrp/TitleTxt10MARSHALL
IRS990/Form990PartVIISectionAGrp/TitleTxt11SENIOR STEWARD
IRS990/Form990PartVIISectionAGrp/TitleTxt12JUNIOR STEWARD
IRS990/Form990PartVIISectionAGrp/TitleTxt13LODGE EDUCATION OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt14TYLER
IRS990/Form990PartVIISectionAGrp/TitleTxt15TRUSTEE
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IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
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IRS990/GrossReceiptsAmt01925884
IRS990/GrossRentsGrp/RealAmt027735
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IRS990/LocalChaptersInd0false
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IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0THIS IS A FRATERNAL ORGANIZATIN WITH 261 MEMBERS. THE ORGANIZATION PROVIDES A LODGE HALL WHERE MEMBERS MEET AS FRIENDS & BROTHERS. THIS LODGE ALONG WITH SEVERAL OTHER LODGES THROUGHOUT MN CONTRIBUTE TO THE MASONIC CANCER CENTER & U OF MN CHILDRENS HOSP
IRS990/MoreThan5000KToIndividualsInd0false
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IRS990/NetAssetsOrFundBalancesBOYAmt01246358
IRS990/NetAssetsOrFundBalancesEOYAmt01280100
IRS990/NetGainOrLossInvestmentsGrp/RelatedOrExemptFuncIncomeAmt085458
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt085458
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt00
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IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt0-37095
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IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0599575
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IRS990/OccupancyGrp/ProgramServicesAmt064829
IRS990/OccupancyGrp/TotalAmt064829
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt04906
IRS990/OfficeExpensesGrp/TotalAmt04906
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IRS990/ReportOtherLiabilitiesInd0false
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IRS990/SavingsAndTempCashInvstGrp/EOYAmt050219
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IRS990ScheduleD/BuildingsGrp/DepreciationAmt0268955
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt0268955
IRS990ScheduleD/LandGrp/BookValueAmt06240
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt06240
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt06189
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt06189
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt041062
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt041062
IRS990ScheduleD/TotalBookValueLandBuildingsAmt06240
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION HAS MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1AT THE ANNUAL MEETING, THE MEMBERS ELECT THEE MASTER, SENIOR AND JUNIOR WARDENS, TREASURER, SECRETARY AND ONE NEW TRUSTEE. THE LODGE OFFICE IS USUALLY OPEN MONDAY THROUGH FRIDAY FROM 9AM TO NOON. ANY INDIVIDUAL CAN COME IN DURING THESE HOURS TO REVIEW THE FORM 990 AND FINANCIAL DOCUMENTS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE MEMBERS ALSO VOTE ON ANY BY-LAW CHANGES
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE TRUSTEES MEET THE FIRST WEDNESDAY TO REVIEW THE COMPLETED FORM 990.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE LODGE OFFICE IS USUALLY OPEN MONDAY THROUGH FRIDAY FROM 9AM TO NOON. ANY INDIVIDUAL CAN COME IN DURING THESE HOURS TO REVIEW THE FORM 990 AND FINANCIAL DOCUMENTS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE LODGE OFFICE IS USUALLY OPEN MONDAY THROUGH FRIDAY FROM 9AM TO NOON. ANY INDIVIDUAL CAN COME IN DURING THESE HOURS TO REVIEW THE FORM 990 AND FINANCIAL DOCUMENTS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THERE ARE NO OTHER FEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7LODGE COSTS: GRAND LODGE PERCAPITA $10904 NEWSLETTER 5190 SCHOLARSHIPS 5000 DINNERS 4239 MISC 1393 TOTAL LODGE COSTS $26726
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8PROVIDING A BUILDING TO HOLD MEETINGS AND A PLACE WHERE MEMBERS CAN GATHER FOR FELLOWSHIP PURPOSES AND TO INITIATE NEW MEMVERS. THESE COSTS ARE BROKEN DOWN INTO TWO CATEGORIES. BUILDING AND GROUNDS AND LODGE BUILDING AND GROUNDS COSTS: TAXES $17495 UTILITIES 21332 INSURANCE 11065 REPAIR MAINT 70892 LAWN AND SNOW 2948 SUPPLIES 211
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9LODGE COSTS: GRAND LODGE PER CAPITA $10904 NEWSLETTER 5190 SCHOLARSHIP 5000 DINNERS 4239 MISC 1393 TOTAL LODGE COSTS $26726
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Members or stockholder classes and rights Part VI line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Member election for additional members Part VI line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Governing body decisions Part VI line 7b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990 availability to public Part VI line 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Governing documents etc available to public Part VI line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6List of other fees for services expenses Part IX line 11g
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7List of other expenses Part IX line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8Part III response or note to any other line in Part III
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9Part IX response or note to any line in Part IX
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IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
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IRS990/TerminateOperationsInd0false
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IRS990/TotalAssetsGrp/BOYAmt01250064
IRS990/TotalAssetsGrp/EOYAmt01283453
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IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt091555
IRS990/TotalFunctionalExpensesGrp/TotalAmt0115612
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IRS990/TotalLiabilitiesBOYAmt03706
IRS990/TotalLiabilitiesEOYAmt03353
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IRS990/TotalLiabilitiesGrp/EOYAmt03353
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IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt01280100
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt091555
IRS990/TotalReportableCompFromOrgAmt017700
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0124134
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0149354
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt0100
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt01250064
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt01283453
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TransactionWithControlEntInd0false
IRS990/TypeOfOrganizationOtherInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt00
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0GARY ODEGARD
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum06516669942
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-05-13
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0MINNEHAHA LODGE NO 165 AF & AM
ReturnHeader/Filer/BusinessNameControlTxt0MINN
ReturnHeader/Filer/EIN0410123157
ReturnHeader/Filer/InCareOfNm0% GARY ODEGARD
ReturnHeader/Filer/PhoneNum06127223103
ReturnHeader/Filer/USAddress/AddressLine1Txt05149 BLOOMINGTON AVE S
ReturnHeader/Filer/USAddress/CityNm0MINNEAPOLIS
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MN
ReturnHeader/Filer/USAddress/ZIPCd055417
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0752972222
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Heimdal Tax and Financial Services
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt08353 210th St West
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Lakeville
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0550448504
ReturnHeader/PreparerPersonGrp/PhoneNum09524691428
ReturnHeader/PreparerPersonGrp/PreparationDt02025-07-28

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