FORM 1023-EZ for BENWOOD COMMUNITY CENTER

Field Data
EIN 46-3434205
Case Number EO-2015131-000308
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BENWOOD COMMUNITY CENTER
Organization’s Mailing Address 12373 310TH AVE
City STRATHCONA
State MN
ZIP 56759
Accounting period End 12
Primary contact name MARLAN WARNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARLAN WARNE
PRESIDENT
12373 310TH AVE
STRATHCONA MN 56759

Officer/Director/Trustee Two

SHAWN GUST
VICE-PRESIDENT
13705 340TH AVE
STRATHCONA MN 56759

Officer/Director/Trustee Three

DOUG HLUCNY
TREASURER
25602 COUNTY ROAD 22
GREENBUSH MN 56726

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2013
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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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