FORM 1023-EZ for VIKINGLAND RETRIEVER CLUB
| Field | Data |
|---|---|
| EIN | 82-4217742 |
| Case Number | EO-2018046-000309 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | VIKINGLAND RETRIEVER CLUB |
| Organization’s Mailing Address | 8961 TEAL TRAIL SW |
| City | LOWRY |
| State | MN |
| ZIP | 56349 |
| Accounting period End | 12 |
| Primary contact name | BENITA OTTERNESS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BENITA OTTERNESS
PRESIDENT
8961 TEAL TRAIL SW
LOWRY MN 56349-8308
Officer/Director/Trustee Two
MARK JENSON
VICE PRESIDENT
1589 E LAKE BROPHY RD
ALEXANDRIA MN 56308
Officer/Director/Trustee Three
MARDI PIEPENBURG
SECRETARY
990 CR 86 SE
ALEXANDRIA MN 56308
Officer/Director/Trustee Four
JACOB OTTERNESS
TREASURER
12326 IRIS LANE SW
LOWRY MN 56349-8308
Officer/Director/Trustee Five
TODD ANDERSON
OFFICER AT LARGE
388 THREE HAVENS DR NE
ALEXANDRIA MN 56308
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/19/17 |
| Organization Incorporation State | MN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N61 - Fishing, Hunting Clubs |
| Organization’s purpose | Charitable: No Religious: No Educational: No Scientific: No Literary: No Public Safety: No Amateur Sports: Yes 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | BENITA OTTERNESS |
| Signature Title | PRESIDENT |
| Signature Date | 2/13/18 |
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