FORM 1023-EZ for REBELS HOOP CLUB

Field Data
EIN 84-4358968
Case Number EO-2020044-000322
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REBELS HOOP CLUB
Organization’s Mailing Address PO BOX 186
City MOOSE LAKE
State MN
ZIP 55767
Accounting period End 12
Primary contact name MARY E DEWEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWN F BODE
PRESIDENT
4212 CO LINE RD
MOOSE LAKE MN 55767

Officer/Director/Trustee Two

BAMBI NEUMANN
SECRETARY
93322 WINDEMERE WAY
STURGEON LAKE MN 55783

Officer/Director/Trustee Three

MEGAN NIELSEN
TREASURER
39016 NORTH SHORELAND RD
STURGEON LAKE MN 55783

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/1998
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 SHAWN F BODE
Signature Title PRESIDENT
Signature Date 2/11/2020

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