FORM 1023-EZ for ALEXANDRIA CHRISTIAN HOCKEY

Field Data
EIN 84-3283898
Case Number EO-2019324-000381
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALEXANDRIA CHRISTIAN HOCKEY
Organization’s Mailing Address 316 NOKOMIS ST
City ALEXANDRIA
State MN
ZIP 56308
Accounting period End 12
Primary contact name SAMUEL TORY BJORKLUND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL BJORKLUND
DIRECTOR
12627 COUNTY ROAD 26 SW
FARWELL MN 56327-8143

Officer/Director/Trustee Two

WILLIAM WADD
DIRECTOR
5123 GREEN MEADOW RD SE
OSAKIS MN 56360-8431

Officer/Director/Trustee Three

MARK JENSEN
DIRECTOR
324 BROADWAY STREET SUITE 201
ALEXANDRIA MN 56308-1652

Officer/Director/Trustee Four

BRENT BIRKELAND
DIRECTOR
316 NOKOMIS ST
ALEXANDRIA MN 56308-1542

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/19
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 SAMUEL BJORKLUND
Signature Title DIRECTOR
Signature Date 11/18/19

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