FORM 1023-EZ for MESABA COUNTRY CLUB YOUTH GOLF ASSOCIATION INC

Field Data
EIN 81-3734783
Case Number EO-2016250-000237
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MESABA COUNTRY CLUB YOUTH GOLF ASSOCIATION INC
Organization’s Mailing Address 415 E 51ST ST
City HIBBING
State MN
ZIP 55746
Accounting period End 12
Primary contact name CONNOR MICHELS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CONNOR MICHELS
TREASURER
515 WEST 15TH AVE
EVELETH MN 55734

Officer/Director/Trustee Two

RYAN CRABB
SECRETARY
316 E 37TH ST
HIBBING MN 55746

Officer/Director/Trustee Three

MARK THUNE
CHAIR
1834 E 26TH ST
HIBBING MN 55746

Officer/Director/Trustee Four

DANIEL POCRNICH
VICE CHAIR
16875 STODOLA ROAD
HOPKINS MN 55345

Officer/Director/Trustee Five

MICHAEL FAY
DIRECTOR
1413 E 18TH ST
HIBBING MN 55746

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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
Signature Title
Signature Date

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