FORM 1023-EZ for KNOB HILL SPORTSMENS CLUB INC

Field Data
EIN 41-1403628
Case Number EO-2015251-000216
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KNOB HILL SPORTSMENS CLUB INC
Organization’s Mailing Address PO BOX 241
City WADENA
State MN
ZIP 56482
Accounting period End 12
Primary contact name PAUL F CARLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRAD ELLINGWORTH
PRESIDENT
1415 WILBERT AVE
WADENA MN 56482

Officer/Director/Trustee Two

KEITH VAN ORSDELL
SECRETARY TREASURER
618 GREENWOOD AVE
WADENA MN 56482

Officer/Director/Trustee Three

BOB KASPER
VICE PRESIDENT
1030 JUNIPER
WADENA MN 56482

Officer/Director/Trustee Four

DARRELL HAMAN
DIRECTOR
1202 MADISON AVE SW
WADENA MN 56482

Officer/Director/Trustee Five

JOHN FINNEGAN
DIRECTOR
21479 CR 66
WADENA MN 56482

Organization’s website WWW.KNOBHILLSPORTSMANSCLUB.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/1958
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
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
Signature Title
Signature Date

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