FORM 1023-EZ for THE RETURN OF THE ROBIN

Field Data
EIN 81-4763129
Case Number EO-2017017-000563
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE RETURN OF THE ROBIN
Organization’s Mailing Address 61033 220TH AVENUE
City MANTORVILLE
State MN
ZIP 55955
Accounting period End 12
Primary contact name JEREMY GUNDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY GUNDERSON
PRESIDENT
61033 220TH AVENUE
MANTORVILLE MN 55955

Officer/Director/Trustee Two

TOM RASMUSSEN
TREASURER
1308 N MANTORVILLE AVE
KASSON MN 55944

Officer/Director/Trustee Three

CHAD SMALLBROCK
SECRETARY
2109 9TH AVENUE NE
KASSON MN 55944

Officer/Director/Trustee Four

ALLIE KELLER
VICE PRESIDENT
9242 EAST POINT DOUGLAS LANE
COTTAGE GROVE MN 55016

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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
Signature Title
Signature Date

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