FORM 1023-EZ for MONTEVIDEO SWIM CLUB

Field Data
EIN 30-0422295
Case Number EO-2016350-000231
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MONTEVIDEO SWIM CLUB
Organization’s Mailing Address PO BOX 201
City MONTEVIDEO
State MN
ZIP 56265
Accounting period End 3
Primary contact name JAMES KNUTSON CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROL ARENDS
PRESIDENT
PO BOX 201
MONTEVIDEO MN 56265

Officer/Director/Trustee Two

KEITH OLSON
VICE PRESIDENT
PO BOX 201
MONTEVIDEO MN 56265

Officer/Director/Trustee Three

JAMIE PAULING
TREASURER
PO BOX 201
MONTEVIDEO MN 56265

Officer/Director/Trustee Four

BECKY PAULING
SECRETARY
PO BOX 201
MONTEVIDEO MN 56265

Officer/Director/Trustee Five

PAUL RONGSTAD
DIRECTOR
PO BOX 201
MONTEVIDEO MN 56265

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2006
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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