| Field | Data |
|---|---|
| EIN | 87-2224547 |
| Case Number | EO-2021238-000303 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ROD AND BOBBIE HANSON STUDENT ATHLETE SCHOLARSHIP INC |
| Organization’s Mailing Address | 113 S MAIN STREET SUITE 301 |
| City | LODI |
| State | WI |
| ZIP | 53555 |
| Accounting period End | 12 |
| Primary contact name | GEOFF LORENZ |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
CHRIS JIMIESEN
PRESIDENT
5178 NINEBARK DRIVE
FITCHBURG WI 53711
REBECCA HANSON VAN ESSEN
VICE PRESIDENT
5112-108TH AVE N
BROOKLYN PARK MN 55443
MICHAEL CLARK
TREASURER
337 LODI STREET
LODI WI 53555
NATHAN SCOTT
SECRETARY
8216 N WHITE STALLION PLACE
TUCSON AZ 85743
GEOFF LORENZ
DIRECTOR
709 ELLIE RAE DRIVE
LODI WI 53555
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/18/2021 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B82 - Scholarships, Student Financial Aid Services, Awards |
| 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 | GEOFF LORENZ |
| Signature Title | DIRECTOR |
| Signature Date | 8/24/2021 |
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