FORM 1023-EZ for MAPLE RIVER GIRLS BASKETBALL ASSOCIATION

Field Data
EIN 47-5560857
Case Number EO-2017032-000118
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAPLE RIVER GIRLS BASKETBALL ASSOCIATION
Organization’s Mailing Address PO BOX 9
City MAPLETON
State MN
ZIP 56065
Accounting period End 12
Primary contact name BRYANT STIERNAGLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEVIN DRAGER
PRESIDENT
22 HIGBIE AVE W
MINNESOTA LAKE MN 56068

Officer/Director/Trustee Two

THOMAS SHOEMAKER
VICE PRESIDENT
421 S HALLADAY ST
GOOD THUNDER MN 56037

Officer/Director/Trustee Three

CHELSEA GERMO
SECRETARY
306 SMITH COURT
MAPLETON MN 56065

Officer/Director/Trustee Four

BRYANT STIERNAGLE
TREASURER
33 4TH STREET
EASTON MN 56025

Organization’s website WWW.MRGBA.ORG
Organization’s email MRGBA@MRGBA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/11/2015
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: Yes
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
Signature Title
Signature Date

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