FORM 1023-EZ for BIRCHWOOD DOCK ASSOCIATION

Field Data
EIN 86-2504289
Case Number EO-2021100-000872
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BIRCHWOOD DOCK ASSOCIATION
Organization’s Mailing Address 700 HALL AVE
City BIRCHWOOD
State MN
ZIP 55110-1804
Accounting period End 12
Primary contact name LYNN HANSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNN HANSON
OFFICER
700 HALL AVE
BIRCHWOOD MN 55110-1804

Officer/Director/Trustee Two

DAVID HEIDEN
PRESIDENT
700 HALL AVE
BIRCHWOOD MN 55110-1804

Officer/Director/Trustee Three

DANA KLIMP
VICE PRESIDENT
700 HALL AVE
BIRCHWOOD MN 55110-1804

Officer/Director/Trustee Four

ALICIA JACKOLA
SECRETARY
700 HALL AVE
BIRCHWOOD MN 55110-1804

Organization’s website
Organization’s email BIRCHWOODDOCKS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/22/2017
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: No
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 LYNN HANSON
Signature Title OFFICER
Signature Date 3/27/2021

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