FORM 1023-EZ for KM YOUTH FOOTBALL

Field Data
EIN 45-2917988
Case Number EO-2017207-000118
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KM YOUTH FOOTBALL
Organization’s Mailing Address PO BOX 41
City KASSON
State MN
ZIP 55944
Accounting period End 12
Primary contact name APRIL CARLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN HEGGE
PRESIDENT
1003 12TH AVENUE NW
KASSON MN 55944

Officer/Director/Trustee Two

DAWN INMAN
VICE PRESIDENT
1602 11TH AVENUE NE
KASSON MN 55944

Officer/Director/Trustee Three

APRIL CARLSON
TREASURER
1006 PARKVIEW AVENUE NW
KASSON MN 55944

Officer/Director/Trustee Four

AMY ROETHLER
SECRETARY
705 20TH STREET NE
KASSON MN 55944

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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