FORM 1023-EZ for KMS FOOTBALL ASSOCIATION

Field Data
EIN 87-2539022
Case Number EO-2021280-000342
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KMS FOOTBALL ASSOCIATION
Organization’s Mailing Address 302 NO 15TH ST
City KERKHOVEN
State MN
ZIP 56252
Accounting period End 12
Primary contact name PAMELA MANSFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD KALLSTROM
MEMBER
4900 135TH ST NW
KERKHOVEN MN 56252

Officer/Director/Trustee Two

RYAN LUFT
MEMBER
302 N 15TH ST
KERKHOVEN MN 56252

Officer/Director/Trustee Three

TARA OLSON
MEMBER
302 N 15TH ST
KERKHOVEN MN 56252

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2021
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 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 TARA OLSON
Signature Title MEMBER
Signature Date 10/5/2021

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