FORM 1023-EZ for FERTILE COMMUNITY CONSERVATION CLUB
| Field | Data |
|---|---|
| EIN | 82-4962423 |
| Case Number | EO-2018211-000502 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | FERTILE COMMUNITY CONSERVATION CLUB |
| Organization’s Mailing Address | 610 EVERGREEN ST SE |
| City | FERTILE |
| State | MN |
| ZIP | 56540 |
| Accounting period End | 12 |
| Primary contact name | BRIAN GRUNHOVD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BRIAN GRUNHOVD
PRESIDENT
610 EVERGREEN ST SE
FERTILE MN 56540
Officer/Director/Trustee Two
JASON HAAS
VICE PRESIDENT
45284 115TH AVE SE
FERTILE MN 56540
Officer/Director/Trustee Three
SHANE FUGLSETH
SECRETARY TREASURER
308 JEFFERESON AVE SW
FERTILE MN 56540
Officer/Director/Trustee Four
LES KROGSTAD
DIRECTOR
3348 430TH ST
FERTILE MN 56540
Officer/Director/Trustee Five
DANNY DOYEA
DIRECTOR
208 W 5TH ST BOX 25
BELTRAMI MN 56517
| Organization’s website | WWW.FERTILECOMMUNITYCONSERVATIONCLUB.COM |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/28/18 |
| Organization Incorporation State | MN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | C30 - Natural Resources Conservation and Protection |
| Organization’s purpose | Charitable: Yes 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 | 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 | BRIAN GRUNHOVD |
| Signature Title | PRESIDENT |
| Signature Date | 7/28/18 |
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