FORM 1023-EZ for JAKE FLYNN MEMORIAL FUND

Field Data
EIN 81-0779457
Case Number EO-2016020-000522
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JAKE FLYNN MEMORIAL FUND
Organization’s Mailing Address 17853 LANESBORO COURT
City LAKEVILLE
State MN
ZIP 55044
Accounting period End 12
Primary contact name SCOTT LOVELESS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SCOTT LOVELESS
PRESIDENT
17853 LANESBORO COURT
LAKEVILLE MN 55044

Officer/Director/Trustee Two

STEVE SHAFER
TREASURER
18138 KINGSWAY PATH
LAKEVILLE MN 55044

Officer/Director/Trustee Three

WILLIAM SCHOMMER
DIRECTOR
9331 178TH STREET W
LAKEVILLE MN 55044

Officer/Director/Trustee Four

ERIC PEHLE
SECRETARY
18272 LANSFORD PATH
LAKEVILLE MN 55044

Officer/Director/Trustee Five

MICHELLE FLYNN
VICE-PRESIDENT
18143 LAKE FOREST CIRCLE
LAKEVILLE MN 55044

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2015
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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
Signature Title
Signature Date

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