FORM 1023-EZ for EASTVIEW SIXTH MAN CLUB

Field Data
EIN 86-2011094
Case Number EO-2021091-000977
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EASTVIEW SIXTH MAN CLUB
Organization’s Mailing Address 6200 140TH STREET WEST
City APPLE VALLEY
State MN
ZIP 55124
Accounting period End 8
Primary contact name JENNIFER SCHROEDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY PURCELL
PRESIDENT
4783 159TH STREET WEST
APPLE VALLEY MN 55124

Officer/Director/Trustee Two

ANUJ KOHLI
TREASURER
14004 FLAGSTONE TRAIL
APPLE VALLEY MN 55124

Officer/Director/Trustee Three

KELLIE SCALES
SECRETARY
6719 3RD AVE S
RICHFIELD MN 55423

Officer/Director/Trustee Four

CHRISTINE STALBOERGER
VICE PRESIDENT
1443 WELLINGTON WAY
EAGAN MN 55122

Officer/Director/Trustee Five

KATHY BOLGER
MEMBER AT LARGE
5248 144TH STREET WEST
APPLE VALLEY MN 55124

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2021
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 AMY PURCELL
Signature Title PRESIDENT
Signature Date 2/23/2021

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