FORM 1023-EZ for BAYFIELD NORDIC

Field Data
EIN 84-2268190
Case Number EO-2019190-000295
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BAYFIELD NORDIC
Organization’s Mailing Address P O BOX 182
City BAYFIELD
State WI
ZIP 54814
Accounting period End 6
Primary contact name SCOTT NESVOLD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIM PEDERSEN
PRESIDENT
P O BOX 472
WASHBURN WI 54891

Officer/Director/Trustee Two

STEVE VIZANKO
VICE PRESIDENT
P O BOX 127
BAYFIELD WI 54814

Officer/Director/Trustee Three

SCOTT NESVOLD
TREASURER
P O BOX 182
BAYFIELD WI 54891

Officer/Director/Trustee Four

TED MAY
SECRETARY
31285
WASHBURN WI 54891

Officer/Director/Trustee Five

DAVE WILCOX
DIRECTOR
836 W 3RD ST
WASHBURN WI 54891

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
Organization’s purpose Charitable: Yes
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 JIM PEDERSEN
Signature Title PRESIDENT
Signature Date 7/5/19

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