FORM 1023-EZ for QAJAQ CAMP

Field Data
EIN 82-3151601
Case Number EO-2017313-000159
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name QAJAQ CAMP
Organization’s Mailing Address 8935 WOODHILL DR
City SAVAGE
State MN
ZIP 55378-3139
Accounting period End 12
Primary contact name CHRISTOPHER CROWHURST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER CROWHURST
DIRECTOR
8935 WOODHILL DRIVE
SAVAGE MN 55378-3139

Officer/Director/Trustee Two

JACQUELYN CROWHURST
DIRECTOR
8935 WOODHILL DRIVE
SAVAGE MN 55378-3139

Officer/Director/Trustee Three

LYNETTE WOIDA
DIRECTOR
2012 EAGLEWOOD LANE
SHAKOPEE MN 55379-9760

Officer/Director/Trustee Four

MICHAEL WOIDA
DIRECTOR
2012 EAGLEWOOD LANE
SHAKOPEE MN 55379-9760

Organization’s website HTTP://QAJAQ.MN
Organization’s email CHRISTOPHER@QAJAQROLLS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
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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