FORM 1023-EZ for GATZKE SENIOR CITIZENS INC

Field Data
EIN 41-1375407
Case Number EO-2015096-000152
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GATZKE SENIOR CITIZENS INC
Organization’s Mailing Address 31485 380TH ST NE
City GATZKE
State MN
ZIP 56724
Accounting period End 12
Primary contact name WAYNE LUNSETTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARY ANN LUNSETTER
PRESIDENT
30496 380TH ST NE
GATZKE MN 56724

Officer/Director/Trustee Two

DORIS KLAMAR
TREASURER
30758 340TH ST NE
GATZKE MN 56724

Officer/Director/Trustee Three

ROBERT ENGELSTAD
VICE PRESIDENT
31535 380TH ST NE
GATZKE MN 56724

Officer/Director/Trustee Four

BARBARA LUNSETTER
SECRETARY
31126 390TH ST NE
MIDDLE RIVER MN 56737

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/1980
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
Organization’s purpose Charitable: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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