FORM 1023-EZ for ADMIRALS OF PRIOR LAKE

Field Data
EIN 83-1937165
Case Number EO-2018318-000157
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADMIRALS OF PRIOR LAKE
Organization’s Mailing Address 16833 WESTBURY AVE SW
City PRIOR LAKE
State MN
ZIP 55372
Accounting period End 10
Primary contact name MOLLY MALONE DOCKEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARA VOLL
PRESIDENT
14360 PARKSIDE COURT NW
PRIOR LAKE MN 55372

Officer/Director/Trustee Two

JENNY JOHNSON
TREASURER
17752 WEDGEWOOD LN SW
PRIOR LAKE MN 55372

Officer/Director/Trustee Three

JASON JOHNSON
VICE PRESIDENT
17752 WEDGEWOOD LN SW
PRIOR LAKE MN 55372

Officer/Director/Trustee Four

MOLLY MALONE DOCKEN
SECRETARY
16833 WESTBURY AVE SW
PRIOR LAKE MN 55372

Officer/Director/Trustee Five

BRIDGET MALMBERG
OFFICER
15871 ISLAND VIEW ROAD
PRIOR LAKE MN 55372

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 MOLLY MALONE DOCKEN
Signature Title SECRETARY
Signature Date 11/6/18

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