FORM 1023-EZ for GOLDEN GLOVES FIREHOUSE GYM OUTREACH PROGRAM

Field Data
EIN 83-2124463
Case Number EO-2018282-000505
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOLDEN GLOVES FIREHOUSE GYM OUTREACH PROGRAM
Organization’s Mailing Address 555 MILL ST NE
City COLUMBIA HEIGHTS
State MN
ZIP 55421
Accounting period End 12
Primary contact name SEAN CLERKIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SEAN CLERKIN
EXECUTIVE DIRECTOR
555 MILL ST NE
COLUMBIA HEIGHTS MN 55421

Officer/Director/Trustee Two

DAVID SKOG
SECRETARY
555 MILL ST NE
COLUMBIA HEIGHTS MN 55421

Officer/Director/Trustee Three

JUDITH MARSH
TREASURER
555 MILL ST NE
COLUMBIA HEIGHTS MN 55421

Organization’s website
Organization’s email JCSLAINTE@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/18
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: Yes
Religious: No
Educational: No
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 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 SEAN CLERKIN
Signature Title EXECUTIVE DIRECTOR
Signature Date 10/6/18

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