FORM 1023-EZ for CANNON FALLS-RANDOLPH MAT RATS WRESTLING CLUB

Field Data
EIN 81-4334717
Case Number EO-2016330-000306
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CANNON FALLS-RANDOLPH MAT RATS WRESTLING CLUB
Organization’s Mailing Address 29455 GAYLORD AVENUE
City CANNON FALLS
State MN
ZIP 55009
Accounting period End 12
Primary contact name KEVIN F KALAL CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER BENNEROTTE
DIRECTOR
29455 GAYLORD AVE
CANNON FALLS MN 55009

Officer/Director/Trustee Two

MATT BENNEROTTE
DIRECTOR
29455 GAYLORD AVE
CANNON FALLS MN 55009

Officer/Director/Trustee Three

JENNIFER ZINGLER
DIRECTOR
7965 292ND STREET E
RANDOLPH MN 55065

Officer/Director/Trustee Four

TIM BLACK
DIRECTOR
36521 COUNTY 57 BLVD
DENNISON MN 55018

Officer/Director/Trustee Five

JON BAIRD
DIRECTOR
820 HOFFMAN ST W
CANNON FALLS MN 55009

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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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