FORM 1023-EZ for FRAZEE FAST BREAK CLUB

Field Data
EIN 47-5455482
Case Number EO-2016064-000083
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRAZEE FAST BREAK CLUB
Organization’s Mailing Address 32299 COUNTY HIGHWAY 10
City FRAZEE
State MN
ZIP 56544
Accounting period End 10
Primary contact name THADDEUS JOHN HELMERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THADDEUS HELMERS
VICE PRESIDENT
32299 COUNTY HIGHWAY 10
FRAZEE MN 56544

Officer/Director/Trustee Two

SHAWN ECKERT
PRESIDENT
36860 RETHWISCH LANE
FRAZEE MN 56544

Officer/Director/Trustee Three

TANYA MAHONEY
TREASURER
12530 CAROW CIRCLE
FRAZEE MN 56544

Officer/Director/Trustee Four

MICHELLE OSWALD
SECRETARY
207 WEST MAPLE AVENUE
FRAZEE MN 56544

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/2015
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: No
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 Yes
One Third Support Gifts No
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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