FORM 1023-EZ for BATTLE LAKE AREA SPORTING CLUB

Field Data
EIN 47-5533579
Case Number EO-2016055-000241
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BATTLE LAKE AREA SPORTING CLUB
Organization’s Mailing Address 702 LAKE AVENUE NORTH
City BATTLE LAKE
State MN
ZIP 56515
Accounting period End 12
Primary contact name ROBERT BLATTI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ARLYN HUSTAD
PRESIDENT
17315 STATE HWY 78
BATTLE LAKE MN 56515

Officer/Director/Trustee Two

GENE KELM
VICE-PRESIDENT
306 NORTH GARFIELD AVENUE
BATTLE LAKE MN 56515

Officer/Director/Trustee Three

BRIAN HARTMAN
TREASURER
35770 175TH AVENUE
EAGLE BEND MN 56446

Officer/Director/Trustee Four

DARRELL FRANZE
SECRETARY
18167 CTY HWY 47
BATTLE LAKE MN 56515

Officer/Director/Trustee Five

ROBERT BLATTI
DIRECTOR
702 LAKE AVENUE NORTH
BATTLE LAKE MN 56515

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2015
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 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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