FORM 1023-EZ for DEER RIVER RUGBY CLUB

Field Data
EIN 81-1329110
Case Number EO-2016319-000216
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DEER RIVER RUGBY CLUB
Organization’s Mailing Address PO BOX 82
City DEER RIVER
State MN
ZIP 56636
Accounting period End 12
Primary contact name DANIELLE SNOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GERALD SNOW
PRESIDENT
16191 360TH AVE
FRAZEE MN 56544

Officer/Director/Trustee Two

KRISTINA COOPER
VICE PRESIDENT/TREASURER
37446 COUNTY ROAD 44
DEER RIVER MN 56636

Officer/Director/Trustee Three

JENNIFER SIKKINK
SECRETARY
35713 ALAN STREET
COHASSET MN 55721

Officer/Director/Trustee Four

DANIELLE SNOW
TREASURER/PR COORDINATOR
16 6TH AVE NE
DEER RIVER MN 56636

Officer/Director/Trustee Five

RANDI GEORGES
BOARD MEMBER
6429 IRVINE AVE NW
BEMIDJI MN 56601

Organization’s website WWW.DEERRIVERRUGBY.COM
Organization’s email DEERRIVERRUGBY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 Yes
Donation of funds Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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