FORM 1023-EZ for GENTLEMENS CLUB OF SUBURBAN HENNEPIN

Field Data
EIN 81-0949720
Case Number EO-2019266-000341
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GENTLEMENS CLUB OF SUBURBAN HENNEPIN
Organization’s Mailing Address 10918 BRITTANY DRIVE NORTH
City CHAMPLIN
State MN
ZIP 55316
Accounting period End 12
Primary contact name EMMANUEL BENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHEN WREH-WILSON
CHAIRMAN
5740 EAST RIVER ROAD APT 113
FRIDLEY MN 55432

Officer/Director/Trustee Two

JEROME DIABE
SECRETARY
10918 BRITTANY DRIVE NORTH
CHAMPLIN MN 55316

Officer/Director/Trustee Three

GABRIEL SARWEE NAH
TREASURER
15127 CIMARRON WAY
ROSEMONT MN 55068

Officer/Director/Trustee Four

THOMAS TAMBA
VICE CHAIRMAN
7433 COLORADO AVENUE N
BROOKLYN PARK MN 55443

Officer/Director/Trustee Five

ROCKETFELLER CLARKE
FINANCIAL SECRETARY
7285 SAVANNA CT
LINO LAKES MN 55014

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/28/15
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S82 - Men's Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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 STEPHEN WREH-WILSON
Signature Title CHAIRMAN
Signature Date 9/19/19

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