FORM 1023-EZ for TWIN CITIES AMAZONS RUGBY CLUB

Field Data
EIN 85-1669401
Case Number EO-2020183-000431
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TWIN CITIES AMAZONS RUGBY CLUB
Organization’s Mailing Address 11068 AMEN CIRCLE NE
City BLAINE
State MN
ZIP 55449
Accounting period End 12
Primary contact name KIM OBRIEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHERINE SJEKLOCHA
PRESIDENT
3210 FILLMORE STREET NE
MINNEAPOLIS MN 55418

Officer/Director/Trustee Two

KAELENE LUNDSTRUM
VICE PRESIDENT
3585 GROVNER ROAD NORTH
OAKDALE MN 55128

Officer/Director/Trustee Three

SARA BAKKER
SECRETARY
11520 53RD AVENUE N
PLYMOUTH MN 55442

Officer/Director/Trustee Four

KIM OBRIEN
TREASURER
11068 AMEN CIRCLE NE
BLAINE MN 55449

Officer/Director/Trustee Five

AMITY BEINER
MATCH SECRETARY
657 10TH AVENUE NW
NEW BRIGHTON MN 55112

Organization’s website WWW.AMAZONSRUGBY.ORG
Organization’s email INFO@AMAZONSRUGBY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/2020
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: No
Religious: No
Educational: No
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 KATHERINE SJEKLOCHA
Signature Title PRESIDENT
Signature Date 6/29/2020

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