FORM 1023-EZ for FOLEY CLAY TARGET CLUB

Field Data
EIN 83-2699336
Case Number EO-2018340-000466
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOLEY CLAY TARGET CLUB
Organization’s Mailing Address 11754 140TH AVE
City FORESTON
State MN
ZIP 56330
Accounting period End 12
Primary contact name JOANN EVENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD TADYCH
PRESIDENT
730 JOHN STREET
FOLEY MN 56329

Officer/Director/Trustee Two

MICHELLE BUETTNER
SECRETARY
7798 160TH AVENUE
FOLEY MN 56357

Officer/Director/Trustee Three

TODD KOBIENIA
TREASURER
11754 140TH AVE
FORESTON MN 56330

Officer/Director/Trustee Four

SCOTT VOLKERS
BOARD MEMBER
33372 102 AVE S
ST. JOSEPH MN 56374

Officer/Director/Trustee Five

REBECCA FREAD
BOARD MEMBER
12839 DUELM RD NE
FOLEY MN 56329

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B25 - Secondary, High School
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TODD KOBIENIA
Signature Title TREASURER
Signature Date 12/4/18

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