FORM 1023-EZ for LYKES BOXING GYM

Field Data
EIN 84-1888167
Case Number EO-2019151-000280
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LYKES BOXING GYM
Organization’s Mailing Address 8582 CORD STREET NE
City CIRCLE PINES
State MN
ZIP 55014
Accounting period End 12
Primary contact name KATIE GRYGELKO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIM MAURINE
PRESIDENT
8662 POLK STREET NE
BLAINE MN 55434

Officer/Director/Trustee Two

JON SCHMIDT
VICE PRESIDENT
2315 POLK STREET NE
MINNEAPOLIS MN 55418

Officer/Director/Trustee Three

KATIE GRYGELKO
DIRECTOR
8582 CORD STREET NE
CIRCLE PINES MN 55014

Officer/Director/Trustee Four

KAREN LYKE
TREASURER/SECRETARY
2141 130TH AVE NW
COON RAPIDS MN 55448

Officer/Director/Trustee Five

CALEB TRUAX
DIRECTOR
9799 43RD STREET NE
ST. MICHAEL MN 55376

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/19
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 KATIE GRYGELKO
Signature Title DIRECTOR
Signature Date 5/29/19

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