FORM 1023-EZ for CROOKSTON HOT STOVE HOCKEY

Field Data
EIN 47-3315202
Case Number EO-2015069-000802
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CROOKSTON HOT STOVE HOCKEY
Organization’s Mailing Address 27186 237TH AVE SW
City CROOKSTON
State MN
ZIP 56716-1354
Accounting period End 6
Primary contact name JOEL GASPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVE LARSON
PRESIDENT
1321 ST MARYS DR
CROOKSTON MN 56716-1354

Officer/Director/Trustee Two

CINDY GJERSWOLD
VICE-PRESIDENT
1115 WALSH ST
CROOKSTON MN 56716-1354

Officer/Director/Trustee Three

MICHELLE CHRISTOPHERSON
SECRETARY
723 SUNSET AVE
CROOKSTON MN 56716-1354

Officer/Director/Trustee Four

REBECCA SANDERS
TREASURER
132 LINCOLN AVE
CROOKSTON MN 56716-1354

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
One Third Support Gifts No
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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