FORM 1023-EZ for SOUTHERN VALLEY FIGURE SKATING CLUBINC

Field Data
EIN 82-3045472
Case Number EO-2017292-000332
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERN VALLEY FIGURE SKATING CLUBINC
Organization’s Mailing Address PO BOX 1412
City WAHPETON
State ND
ZIP 58074-0412
Accounting period End 12
Primary contact name JOHN BULLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY CEROLL
PRESIDENT
415 SIEMERS CT
BRECKENRIDGE MN 56520

Officer/Director/Trustee Two

AMIE BENEDICT
VICE PRESIDENT
7631 174TH AVE SE
WAHPETON ND 58075

Officer/Director/Trustee Three

JESSICA SEELYE
SECRETARY
202 3RD ST S
FAIRMOUNT ND 58030

Officer/Director/Trustee Four

ROBERTA SCHREIBER
TREASURER
3768 310TH AVE
FOXHOME MN 56543

Officer/Director/Trustee Five

ANITA BOATRIGHT
BOARD MEMBER
4142 320TH AVE
DORAN MN 56522

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2017
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
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
Signature Title
Signature Date

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