FORM 1023-EZ for WEM CLAY TARGET BOOSTER CLUB

Field Data
EIN 87-1411883
Case Number EO-2021181-000379
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WEM CLAY TARGET BOOSTER CLUB
Organization’s Mailing Address 45270 KILKENNY RD
City KILKENNY
State MN
ZIP 56052
Accounting period End 6
Primary contact name AMY GOHLIKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY GOHLIKE
TREASURER
45270 KILKENNY RD
KILKENNY MN 56052

Officer/Director/Trustee Two

ROBERT QUAST
PRESIDENT
6647 235TH ST W
WARSAW MN 55087

Officer/Director/Trustee Three

DENNIS ANDROLI
VICE PRESIDENT
19774 460TH ST
WATERVILLE MN 56096

Officer/Director/Trustee Four

KELLY HAAG
SECRETRY
10876 215TH ST W
MORRISTOWN MN 55052

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/2021
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: Yes
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 AMY GOHLIKE
Signature Title TREASURER
Signature Date 6/28/2021

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