FORM 1023-EZ for DRAYTON GOLF CLUB INC

Field Data
EIN 45-0346960
Case Number EO-2019259-000736
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DRAYTON GOLF CLUB INC
Organization’s Mailing Address PO BOX 267
City DRAYTON
State ND
ZIP 58225
Accounting period End 12
Primary contact name JANE BLAWAT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW VOLD
PRESIDENT
300 S 4TH ST
DRAYTON ND 58225

Officer/Director/Trustee Two

COREY HJELMSTAD
VICE PRESIDENT
301 RIVER RANGE ROAD
DRAYTON ND 58225

Officer/Director/Trustee Three

JANE BLAWAT
SECRETARY/TREASURER
209 N 3RD ST
DRAYTON ND 58225

Officer/Director/Trustee Four

ANDY GRZADZIELESKI
BOARD MEMBER
7756 160TH AVE NE
DRAYTON ND 58225

Officer/Director/Trustee Five

MARGARET POLLESTAD
BOARD MEMBER
104 N 5TH ST
DRAYTON ND 58225

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/90
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N6A - Golf
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 JANE BLAWAT
Signature Title SECRETARY/TREASURER
Signature Date 9/12/19

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