| Field | Data |
|---|---|
| EIN | 86-1731338 |
| Case Number | EO-2021095-000663 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MEDICINE LAKE SKI CLUB |
| Organization’s Mailing Address | 216 PENINSULA ROAD |
| City | MEDICINE LAKE |
| State | MN |
| ZIP | 55441-4114 |
| Accounting period End | 12 |
| Primary contact name | JUSTIN KIRVEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
JUSTIN KIRVEN
PRESIDENT
216 PENINSULA ROAD
MEDICINE LAKE MN 55441-4114
THERESE POLUM
TREASURER
155 PENINSULA ROAD
MEDICINE LAKE MN 55441-4113
NATE HEISICK
VICE PRESIDENT
253 PENINSULA ROAD
MEDICINE LAKE MN 55441-4179
KIRSTIN NIELSEN
COMMUNICATIONS DIRECTOR
229 PENINSULA ROAD
MEDICINE LAKE MN 55441-4179
MICHAEL FOX
MAINTENANCE DIRECTOR
10332 S SHORE DRIVE
PLYMOUTH MN 55441-4910
| Organization’s website | |
|---|---|
| Organization’s email | MEDICINELAKESKICLUB@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/27/2021 |
| Organization Incorporation State | MN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N68 - Winter Sports (Snow and Ice) |
| 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 | JUSTIN KIRVEN |
| Signature Title | PRESIDENT |
| Signature Date | 3/4/2021 |
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