FORM 1023-EZ for PRAIRIE CENTRE HOCKEY ASSOCIATION

Field Data
EIN 47-5062330
Case Number EO-2019046-000456
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRAIRIE CENTRE HOCKEY ASSOCIATION
Organization’s Mailing Address PO BOX 281
City SAUK CENTRE
State MN
ZIP 56378
Accounting period End 3
Primary contact name EDWARD GRUENES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWARD GRUENES
PRESIDENT
320 MORNING VIEW LANE
SAUK CENTRE MN 56378

Officer/Director/Trustee Two

KELLY LEMKE
VICE PRESIDENT
21750 COUNTY 36
LONG PRAIRIE MN 56347

Officer/Director/Trustee Three

MARTY TRIERWEILER
TREASURER
40829 PINE VIEW DR
SAUK CENTRE MN 56378

Officer/Director/Trustee Four

MATT WESSEL
SECRETARY
385 EAST RIVER CIRCLE
SAUK CENTRE MN 56378

Officer/Director/Trustee Five

SCOTT ZIGAN
BOARD MEMBER
20690 COUNTY ROAD 84
CLARISSA MN 56440

Organization’s website WWW.SAUKCENTREMELROSE.PUCKSYSTEMS.COM
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/15
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 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 EDWARD GRUENES
Signature Title PRESIDENT
Signature Date 2/13/19

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