FORM 1023-EZ for OWATONNA DIVING CLUB

Field Data
EIN 47-3780061
Case Number EO-2015113-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OWATONNA DIVING CLUB
Organization’s Mailing Address 135 EAST FRONT STREET
City OWATONNA
State MN
ZIP 55060
Accounting period End 12
Primary contact name TROY MATEJCEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TROY MATEJCEK
PRESIDENT
455 CEDARDALE DR SE
OWATONNA MN 55060

Officer/Director/Trustee Two

GLEN MORRIS
VICE PRESIDENT
25525 EATON AVE
FARIBAULT MN 55021

Officer/Director/Trustee Three

ROBERT KIERSKI
SECRETARY
19325 EVENING STAR WAY
FARMINGTON MN 55024

Officer/Director/Trustee Four

JAMES ZABEL
TREASURER
300 FIRST AVE NE 224
AUSTIN MN 55912

Officer/Director/Trustee Five

DELBERT KEPKA
BOARD MEMBER
2425 SW 81ST STREET
OWATONN MN 55060

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
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
Signature Title
Signature Date

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