FORM 1023-EZ for WADENA DEER CREEK TRAP SHOOTING CLUB

Field Data
EIN 82-0675698
Case Number EO-2018344-000378
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WADENA DEER CREEK TRAP SHOOTING CLUB
Organization’s Mailing Address C/O WDC SCHOOL 600 COLFAX AVE SW
City WADENA
State MN
ZIP 56482
Accounting period End 12
Primary contact name CHELSA GOLBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHELSA GOLBERG
DIRECTOR
59812 290TH ST
WADENA MN 56482

Officer/Director/Trustee Two

MICHAEL KENNEY
DIRECTOR
1410 13TH ST SW
WADENA MN 56482

Officer/Director/Trustee Three

ANDREA SEELHAMMER
DIRECTOR
57463 270TH ST
DEER CREEK MN 56527

Officer/Director/Trustee Four

DOUGLAS ADAMS
DIRECTOR
853 FRANKLIN AVE S
WADENA MN 56482

Officer/Director/Trustee Five

DANIEL HAHN
DIRECTOR
15569 131ST AVE
WADENA MN 56482

Organization’s website
Organization’s email CGOLBERG@WDC2155.K12.MN.US
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/17
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 Yes
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 ANDREA SEELHAMMER
Signature Title DIRECTOR
Signature Date 12/7/18

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