FORM 1023-EZ for TRITON YOUTH FOOTBALL

Field Data
EIN 83-1005091
Case Number EO-2018180-000447
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRITON YOUTH FOOTBALL
Organization’s Mailing Address 604 5TH ST SE
City DODGE CENTER
State MN
ZIP 55927
Accounting period End 12
Primary contact name TERRY LARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRY LARSON
PRESIDENT
604 5TH ST SE
DODGE CENTER MN 55927

Officer/Director/Trustee Two

BECKY LARSON
SECRETARY
604 5TH ST SE
DODGE CENTER MN 55927

Officer/Director/Trustee Three

ERIC KNUTSON
TREASURER
19498 575TH ST
DODGE CENTER MN 55927

Officer/Director/Trustee Four

GREG SELTHUN
DIRECTOR
13577 540TH ST
WEST CONCORD MN 55985

Officer/Director/Trustee Five

ROB HOLTERMAN
DIRECTOR
414 7TH ST NW
DODGE CENTER MN 55927

Organization’s website NONE
Organization’s email TLARSON@VIRACON.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 TERRY LARSON
Signature Title PRESIDENT
Signature Date 6/27/18

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