FORM 1023-EZ for PRAIRIE POTHOLE CHAPTER OF MINNESOTA WATERFOWL ASSOCIATION

Field Data
EIN 41-1908566
Case Number EO-2020037-000235
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRAIRIE POTHOLE CHAPTER OF MINNESOTA WATERFOWL ASSOCIATION
Organization’s Mailing Address 6080 113TH AVE
City SPICER
State MN
ZIP 56288
Accounting period End 1
Primary contact name LEROY DAHLKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEROY DAHLKE
PRESIDENT
6080 113TH AVE
SPICER MN 56288

Officer/Director/Trustee Two

MELISSA ROTHWELL
TREASURER
6499 LONG LAKE RD
WILLMAR MN 56201

Officer/Director/Trustee Three

ELLIE DITTES
SECRETARY
815 MONONGALIA AVE SW
WILLMAR MN 56201

Officer/Director/Trustee Four

TOM HANSON
FIRST VICE PRESIDENT
3968 15TH AVE SE
WILLMAR MN 56201

Officer/Director/Trustee Five

CRAIG WASIK
SECOND VICE PRESIDENT
2014 6TH ST SW
WILLMAR MN 56201

Organization’s website NA
Organization’s email STONEYRIDGE@TDS.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/1997
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C32 - Water Resource, Wetlands Conservation and Management
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 LEROY DAHLKE
Signature Title PRESIDENT
Signature Date 2/4/2020

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