FORM 1023-EZ for IRONDALE BLUE LINE CLUB

Field Data
EIN 81-4953767
Case Number EO-2017017-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IRONDALE BLUE LINE CLUB
Organization’s Mailing Address 2425 IRONDALE BLUE LINE CLUB
City NEW BRIGHTON
State MN
ZIP 55112
Accounting period End 4
Primary contact name ANITA ERICKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARA CHAMBERLAIN
PRESIDENT
7969 SUNNYSIDE RD
MOUNDS VIEW MN 55112

Officer/Director/Trustee Two

ANITA ERICKSON
VICE PRESIDENT
7205 HIDDEN HOLLOW COURT
MOUNDS VIEW MN 55112

Officer/Director/Trustee Three

TINA ESKRO
TREASURER
6411 SQUIRE DR
FRIDLEY MN 55432

Officer/Director/Trustee Four

TERI ANDERSON
SECRETARY
2917 ANTHONY LANE N
ST ANTHONY VILLAGE MN 55418

Officer/Director/Trustee Five

ROB WOLDT
FUNDRAISER COORDINATOR
1221 PIKE LAKE DRIVE
NEW BRIGHTON MN 55112

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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
Signature Title
Signature Date

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