FORM 1023-EZ for Dutch Harbor Yacth Club

Field Data
EIN 45-4084345
Case Number EO-2014336-000489
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name Dutch Harbor Yacth Club
Organization’s Mailing Address PO BOX 920526
City DUTCH HARBOR
State AK
ZIP 99692
Accounting period End 10
Primary contact name BLAKE LA PLANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RAY KELLERSON
PRESIDENT
PO BOX 920526
DUTCH HARBOR AK 99692-0526

Officer/Director/Trustee Two

MIKE HAZEN
VICE PRESIDENT
PO BOX 920526
DUTCH HARBOR AK 99692-0526

Officer/Director/Trustee Three

BLAKE LA PLANT
SECRETARY / TREASURER
PO BOX 920526
DUTCH HARBOR AK 99692-0526

Organization’s website
Organization’s email ARCTICHARLEY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/1997
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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