FORM 1023-EZ for BLAINE DUGOUT CLUB

Field Data
EIN 43-2101303
Case Number EO-2019247-000179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLAINE DUGOUT CLUB
Organization’s Mailing Address 12555 UNIVERSITY AVENUE NE
City BLAINE
State MN
ZIP 55434
Accounting period End 9
Primary contact name BRANDY ZENK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRUCE DAHLMAN
PRESIDENT
766 103RD AVENUE NE
BLAINE MN 55434

Officer/Director/Trustee Two

SEAN OBRIEN
VICE PRESIDENT
17331 ZUMBROTA STREET NE
HAM LAKE MN 55304

Officer/Director/Trustee Three

BRANDY ZENK
TREASURER
1105 JUNIPER LANE NE
HAM LAKE MN 55304

Officer/Director/Trustee Four

TERI CHAREST
SECRETARY
1714 132ND AVENUE NE
BLAINE MN 55449

Organization’s website
Organization’s email TREASURERDUGOUTCLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/07
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 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 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 BRANDY ZENK
Signature Title TREASURER
Signature Date 8/30/19

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