FORM 1023-EZ for SIOUX CITY MARINERS

Field Data
EIN 83-1941918
Case Number EO-2018288-000257
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SIOUX CITY MARINERS
Organization’s Mailing Address 1120 S FALCON COURT
City HINTON
State IA
ZIP 51024
Accounting period End 12
Primary contact name MELISSA WILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATE NELSON
PRESIDENT AND DIRECTOR
1120 S FALCON COURT
HINTON IA 51024

Officer/Director/Trustee Two

JACKI KELLY
TREASURER AND DIRECTOR
400 45TH STREET
SIOUX CITY IA 51104

Officer/Director/Trustee Three

DANIEL HARDER
VICE PRESIDENT AND DIRECTOR
3818 CHEYENNE BLVD
SIOUX CITY IA 51104

Officer/Director/Trustee Four

KIM BURYANEK
SECRETARY AND DIRECTOR
3815 PIERCE STREET
SIOUX CITY IA 51101

Officer/Director/Trustee Five

SHAUNA HOAK
DIRECTOR
4455 FAR HILLS ROAD
SIOUX CITY IA 51104

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/18
Organization Incorporation State IA
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: Yes
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 NATE NELSON
Signature Title PRESIDENT AND DIRECTOR
Signature Date 10/11/18

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