FORM 1023-EZ for BOMBAS OF PRIOR LAKE

Field Data
EIN 85-2598010
Case Number EO-2020234-000076
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOMBAS OF PRIOR LAKE
Organization’s Mailing Address 3803 OBRIEN COURT SW
City PRIOR LAKE
State MN
ZIP 55372
Accounting period End 12
Primary contact name DAWN GUTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAY SCOTT
PRESIDENT
15239 FAIRWAY HEIGHTS CT NW
PRIOR LAKE MN 55372

Officer/Director/Trustee Two

DAWN GUTH
TREASURER
3803 OBRIEN COURT SW
PRIOR LAKE MN 55372

Officer/Director/Trustee Three

NATALIE GOLBERG
VP OF MARKETING
8287 FOXBERRY CT
SAVAGE MN 55378

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2020
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: 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 Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAWN GUTH
Signature Title TREASURER
Signature Date 8/19/2020

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