FORM 1023-EZ for BEMIDJI OLDTIMERS HOCKEY INC

Field Data
EIN 86-2439393
Case Number EO-2021131-000385
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BEMIDJI OLDTIMERS HOCKEY INC
Organization’s Mailing Address 670 OAK HILLS RD SE
City BEMIDJI
State MN
ZIP 56601
Accounting period End 12
Primary contact name ROBERT GREGG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT GREGG
PRESIDENT
670 OAK HILLS RD SE
BEMIDJI MN 56601

Officer/Director/Trustee Two

BRIAN HUGHES
VICE-PRESIDENT
25788 460TH ST
LAPORTE MN 56461

Officer/Director/Trustee Three

KEITH HOLMAN
TREASURER-SECRETARY
12596 MAYER CT SE
BEMIDJI MN 56601

Officer/Director/Trustee Four

JON OTTERSTAD
DIRECTOR
3820 BIRCHMONT DR NE
BEMIDJI MN 56601

Officer/Director/Trustee Five

SCOTT ANDERSEN
DIRECTOR
22195 PLEASANT VALLEY RD NW
PUPOSKY MN 56667

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/1994
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 ROBERT GREGG
Signature Title PRESIDENT
Signature Date 5/7/2021

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