FORM 1023-EZ for ZIMMERMAN ARCHERY CLUB

Field Data
EIN 82-2454242
Case Number EO-2017226-000171
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ZIMMERMAN ARCHERY CLUB
Organization’s Mailing Address PO BOX 446
City ZIMMERMAN
State MN
ZIP 55398
Accounting period End 12
Primary contact name DAVE WAAGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVE WAAGE
PRESIDENT, BD MBR
24878 147TH ST SW
ZIMMERMAN MN 55398

Officer/Director/Trustee Two

SONJA GRUWELL
TREASURER
11015 256TH AVE NW
ZIMMERMAN MN 55398

Officer/Director/Trustee Three

RANDY GRUWELL
VICE PRESIDENT, BD MBR
11015 256TH AVE NW
ZIMMERMAN MN 55398

Officer/Director/Trustee Four

TERI SANDY
SECRETARY, BD MBR
27385 114TH ST
ZIMMERMAN MN 55398

Officer/Director/Trustee Five

TOM ANDRESON
BD MBR
14320 252ND AVE NW
ZIMMERMAN MN 55398

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2017
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: 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 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
Signature Title
Signature Date

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