FORM 1023-EZ for HLWW YOUTH BASKETBALL

Field Data
EIN 83-2102475
Case Number EO-2019269-000243
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HLWW YOUTH BASKETBALL
Organization’s Mailing Address 24112 GRASS LAKE ROAD
City WINSTED
State MN
ZIP 55395
Accounting period End 12
Primary contact name BARBARA SCHANK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD BURAU
PRESIDENT
12448 90TH STREET SW
COKATO MN 55321

Officer/Director/Trustee Two

KRIS UTER
SECRETARY
3017 CEDAR BOULEVARD
HOWARD LAKE MN 55349

Officer/Director/Trustee Three

KIRK JENSEN
TOURNAMENT DIRECTOR
704 HAYWOOD DRIVE
HOWARD LAKE MN 55349

Officer/Director/Trustee Four

ROBIN FIECKE
SOCIAL MEDIA DIRECTOR
7273 COUNTY ROAD 30 SW
HOWARD LAKE MN 55349

Officer/Director/Trustee Five

BARBARA SCHANK
TREASURER
24112 GRASS LAKE ROAD
WINSTED MN 55395

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/17
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BARBARA SCHANK
Signature Title TREASURER
Signature Date 9/24/19

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