FORM 1023-EZ for BARNUM AREA COMMUNITY CLUB

Field Data
EIN 41-1664506
Case Number EO-2017137-000428
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BARNUM AREA COMMUNITY CLUB
Organization’s Mailing Address BOX 213
City BARNUM
State MN
ZIP 55707
Accounting period End 12
Primary contact name WAYNE SURONEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WAYNE SURONEN
PRESIDENT
3596 SPENCER ROAD
BARNUM MN 55707

Officer/Director/Trustee Two

KRISTINA ASPERHEIM
TREASURER
3518 PINE ROAD NORTH
BARNUM MN 55707

Officer/Director/Trustee Three

DALE RIIHILUOMA
VICE PRESIDENT
3764 LAWRENCE STREET
BARNUM MN 55707

Officer/Director/Trustee Four

LINDA LANGNESS
SECRETARY
3727 CARLTON STREET
BARNUM MN 55707

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/1997
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
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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