FORM 1023-EZ for BOOTS N BUCKLES SADDLE CLUB INC

Field Data
EIN 46-5378796
Case Number EO-2017095-000161
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BOOTS N BUCKLES SADDLE CLUB INC
Organization’s Mailing Address 16060 COUNTY ROAD 24
City BRAINERD
State MN
ZIP 56401
Accounting period End 12
Primary contact name TAMMY BLAZEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMMY BLAZEK
PRESIDENT
16060 COUNTY ROAD 24
BRAINERD MN 56401

Officer/Director/Trustee Two

JENNIFER PETERSON
V. PRES/TREASURER
PO BOX 125
BRAINERD MN 56401

Officer/Director/Trustee Three

TYLER BLAZEK
SECRETARY
5668 BROOK CREEK RD
BRAINERD MN 56401

Officer/Director/Trustee Four

NICHOLE ACKERMAN
BOARD MEMBER
3802 CNTY RD 1
PINE RIVER MN 56473

Officer/Director/Trustee Five

GARY KORT
BOARD MEMBER
PO BOX 264
PILLAGER MN 56473

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N69 - Equestrian, Riding
Organization’s purpose Charitable: No
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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