FORM 1023-EZ for ERNIE KLUESNER MEMORIAL CLASSIC INC

Field Data
EIN 86-3238266
Case Number EO-2021118-000091
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ERNIE KLUESNER MEMORIAL CLASSIC INC
Organization’s Mailing Address 2960 26TH AVENUE
City MARION
State IA
ZIP 52302
Accounting period End 12
Primary contact name MATT KLUESNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATT KLUESNER
CFO
2960 26TH AVENUE
MARION IA 52302

Officer/Director/Trustee Two

BRYAN BLAKE
CEO
450 1ST STREET SW UNIT 402
CEDAR RAPIDS IA 52404

Officer/Director/Trustee Three

PAT NEILLY
COO
3320 N 94TH STREET
LINCOLN NE 68507

Organization’s website NA
Organization’s email BATESMEMORIALCLASSIC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/2021
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MATT KLUESNER
Signature Title CFO
Signature Date 4/26/2021

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