FORM 1023-EZ for HASTINGS RAIDERS ALPINE

Field Data
EIN 83-1481024
Case Number EO-2018227-000185
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HASTINGS RAIDERS ALPINE
Organization’s Mailing Address 14075 FURLONG TRAIL
City HASTINGS
State MN
ZIP 55033
Accounting period End 12
Primary contact name BRIAN RADKE CPA MBT POA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY REENTS
PRESIDENT
15221 68TH ST SO
HASTINGS MN 55033

Officer/Director/Trustee Two

TRICIA PELAVA
TREASURER
14075 FURLONG TRAIL
HASTINGS MN 55033

Officer/Director/Trustee Three

BRIAN MOLITOR
SECRETARY
23198 LILLEHEI AVE
HASTINGS MN 55033

Officer/Director/Trustee Four

DAN PELAVA
DIRECTOR
14075 FURLONG TRAIL
HASTINGS MN 55033

Officer/Director/Trustee Five

JIM KARNICK
DIRECTOR
1417 TYLER ST
HASTINGS MN 55033

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 BRIAN MOLITOR
Signature Title SECRETARY
Signature Date 8/13/18

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