FORM 1023-EZ for PARK HIGH SCHOOL HALL OF FAME

Field Data
EIN 84-4668875
Case Number EO-2020044-000379
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PARK HIGH SCHOOL HALL OF FAME
Organization’s Mailing Address 8040 80TH STREET SOUTH
City COTTAGE GROVE
State MN
ZIP 55016
Accounting period End 6
Primary contact name PHIL KUEMMEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHIL KUEMMEL
SECRETARY/TREASURER
8040 80TH STREET SOUTH
COTTAGE GROVE MN 55016

Officer/Director/Trustee Two

WALTER NEWCOMB
PRESIDENT
8040 80TH STREET SOUTH
COTTAGE GROVE MN 55016

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/2005
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: 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PHIL KUEMMEL
Signature Title SECRETARY/TREASURER
Signature Date 2/11/2020

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