FORM 1023-EZ for MAHTOMEDI YOUTH SHOOTING SPORTS CLUB INC

Field Data
EIN 47-2701863
Case Number EO-2015012-000380
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAHTOMEDI YOUTH SHOOTING SPORTS CLUB INC
Organization’s Mailing Address PO BOX 443
City WILLERNIE
State MN
ZIP 55090-6500
Accounting period End 12
Primary contact name BECKY SOLENSTEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT GOEBEL
PRESIDENT
8100 IMPERIAL CT N
STILLWATER MN 55082-9340

Officer/Director/Trustee Two

JONATHAN EARLY
VICE PRESIDENT
8032 HIDDEN BAY TRL N
LAKE ELMO MN 55042-9526

Officer/Director/Trustee Three

BECKY SOLENSTEN
TREASURER
8590 JEWELL AVE N
STILLWATER MN 55082-9351

Officer/Director/Trustee Four

GARY DANGER
SECRETARY
2622 RIVIERA CT
WHITE BEAR LAKE MN 55110-4918

Organization’s website
Organization’s email MAHTOMEDITRAP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2014
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: 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 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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