FORM 1023-EZ for BLACK WIDOW BMX
| Field | Data |
|---|---|
| EIN | 86-2085143 |
| Case Number | EO-2021097-001091 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BLACK WIDOW BMX |
| Organization’s Mailing Address | 203 GRAND AVENUE NE |
| City | SAINT MICHAEL |
| State | MN |
| ZIP | 55376 |
| Accounting period End | 12 |
| Primary contact name | DANIEL ISAACS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DANIEL ISAACS
PRESIDENT
203 GRAND AVENUE NE
SAINT MICHAEL MN 55376
Officer/Director/Trustee Two
SHAUN ANDERSON
TREASURER
10649 62ND STREET NE
ALBERTVILLE MN 55301
Officer/Director/Trustee Three
LELA POLLOCK
VICE PRESIDENT
6351 RIVER MILL DRIVE
MONTICELLO MN 55362
Officer/Director/Trustee Four
JENNIFER ETNIER
SECRETARY
209 OAK AVENUE SW
SAINT MICHAEL MN 55376
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/13/2021 |
| 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: 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 | DANIEL ISAACS |
| Signature Title | PRESIDENT |
| Signature Date | 3/16/2021 |
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