FORM 1023-EZ for NORTHWEST COMPOSITE

Field Data
EIN 83-2845027
Case Number EO-2020224-000320
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHWEST COMPOSITE
Organization’s Mailing Address 44557 NITCHE LAKE ROAD
City PERHAM
State MN
ZIP 56573
Accounting period End 12
Primary contact name BEN OLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEN OLSON
TEAM DIRECTOR
44557 NITCHE LAKE ROAD
PERHAM MN 56573-8851

Officer/Director/Trustee Two

HEIDI OLSON
ASSISTANT TEAM DIRECTOR
44557 NITCHE LAKE RD
PERHAM MN 56573-8851

Officer/Director/Trustee Three

KJERSTEN SKATVOLD
ASSISTANT TEAM DIRECTOR
705 18TH AVENUE NORTH
MOORHEAD MN 56560-2339

Officer/Director/Trustee Four

JAY BOESE
ASSISTANT TEAM DIRECTOR
3380 JACKSON STREET
FARGO ND 58104

Officer/Director/Trustee Five

NONE NONE
NONE
NONE
NONE MN 00000

Organization’s website NWCOMPMTB.COM
Organization’s email NWCCOMPMTB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/2018
Organization Incorporation State MN
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: 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 No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HEIDI OLSON
Signature Title ASSISTANT TEAM DIRECTOR
Signature Date 8/6/2020

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