FORM 1023-EZ for BURNSVILLE TRAPSHOOTING TEAM BOOSTER CLUB

Field Data
EIN 46-2218083
Case Number EO-2016063-000160
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BURNSVILLE TRAPSHOOTING TEAM BOOSTER CLUB
Organization’s Mailing Address 600 EAST HWY 13
City BURNSVILLE
State MN
ZIP 55337
Accounting period End 12
Primary contact name DAN BLOWERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANNY BLOWERS
PRESIDENT
704 KNOB HILL ROAD
BURNSVILLE MN 55337

Officer/Director/Trustee Two

JAY BLOWERS
VICE PRESIDENT
14130 ALABAMA AVE
SAVAGE MN 55378

Officer/Director/Trustee Three

SUSAN MUELKEN
SECRETARY
5398 VERNON
SAVAGE MN 55378

Officer/Director/Trustee Four

DARCIE GORELL-EVERS
TREASURER
13763 PRINCETON COURT
SAVAGE MN 55378

Organization’s website WWW.BHSTRAP.COM
Organization’s email BHSTRAPSHOOTING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 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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