FORM 1023-EZ for GARY MORGAN PARK HOCKEY

Field Data
EIN 81-5013565
Case Number EO-2017201-000029
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GARY MORGAN PARK HOCKEY
Organization’s Mailing Address 1242 88TH AVE W
City DULUTH
State MN
ZIP 55808-1507
Accounting period End 12
Primary contact name WADE BACKSTROM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARRELL ECKENBERG
PRESIDENT
1463 89TH AVE W
DULUTH MN 55808-1526

Officer/Director/Trustee Two

TRAVIS CORBETT
TREASURER
220 98TH AVE W
DULUTH MN 55808-2115

Officer/Director/Trustee Three

JESSY SAXIN
SECRETARY
610 101ST AVE W
DULUTH MN 55808-1911

Officer/Director/Trustee Four

WADE BACKSTROM
RINK DIRECTOR
8715 ARBOR ST
DULUTH MN 55808-1437

Officer/Director/Trustee Five

JOHN PAUL JONES
VICE-PRESIDENT
3549 UGSTAD RD
HERMANTOWN MN 55810-2540

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/18/2017
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
Signature Title
Signature Date

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