FORM 1023-EZ for COON RAPIDS NORDIC SKI BOOSTER CLUB

Field Data
EIN 93-1332222
Case Number EO-2016091-000550
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COON RAPIDS NORDIC SKI BOOSTER CLUB
Organization’s Mailing Address 2340 NORTHDALE BLVD
City COON RAPIDS
State MN
ZIP 55433
Accounting period End 3
Primary contact name JILL ELLENBECKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD PETROFF
PRESIDENT
2340 NORTHDALE BLVD
COON RAPIDS MN 55433

Officer/Director/Trustee Two

JOHN ELLENBECKER
CO-TREASURER
2340 NORTHDALE BLVD
COON RAPIDS MN 55433

Officer/Director/Trustee Three

JILL ELLENBECKER
CO-TREASURER
2340 NORTHDALE BLVD
COON RAPIDS MN 55433

Officer/Director/Trustee Four

VIRGINIA HABERMAN
SECRETARY
2340 NORTHDALE BLVD
COON RAPIDS MN 55433

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2003
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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