FORM 1023-EZ for NASHWAUK-KEEWATIN SPARTAN ARCHERY

Field Data
EIN 83-2826743
Case Number EO-2019364-000366
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NASHWAUK-KEEWATIN SPARTAN ARCHERY
Organization’s Mailing Address PO BOX 81
City PENGILLY
State MN
ZIP 55775
Accounting period End 6
Primary contact name SERAPHINA FLINT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL BUSH
PRESIDENT
14125 LASTOVICH RD
GOODLAND MN 55742

Officer/Director/Trustee Two

AMBER GOSS
TREASURER
37496 NORTHVIEW RD
NASHWAUK MN 55769

Officer/Director/Trustee Three

SERAPHINA FLINT
SECRETARY
29903 SHOFNER LN
PENGILLY MN 55775

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/13/2018
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 SERAPHINA FLINT
Signature Title SECRETARY
Signature Date 12/28/2019

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