FORM 1023-EZ for PIZM YOUTH SOCCER CLUB INC

Field Data
EIN 81-5427709
Case Number EO-2017072-000347
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PIZM YOUTH SOCCER CLUB INC
Organization’s Mailing Address 911 RODEO DR SE
City PINE ISLAND
State MN
ZIP 55963
Accounting period End 8
Primary contact name DWAYNE JAHNKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTIAN WERNAU
PRESIDENT/SECRETARY
911 RODEO DRIVE SE
PINE ISLAND MN 55963

Officer/Director/Trustee Two

DWAYNE JAHNKE
TREASURER
1731 8TH ST SE
PINE ISLAND MN 55963

Officer/Director/Trustee Three

RAFAL KONIK
DIRECTOR
305 7TH ST SW
ORONOCO MN 55960

Officer/Director/Trustee Four

ERIC TREE
DIRECTOR
25251 525TH STREET
PINE ISLAND MN 55963

Officer/Director/Trustee Five

MEGAN NELSON
DIRECTOR
531 CEDAR CT NE
PINE ISLAND MN 55963

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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