FORM 1023-EZ for FOUR CORNERS WILDLIFE CLUB
| Field | Data |
|---|---|
| EIN | 45-0455396 |
| Case Number | EO-2018280-000091 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | FOUR CORNERS WILDLIFE CLUB |
| Organization’s Mailing Address | 125 2ND ST |
| City | EMBDEN |
| State | ND |
| ZIP | 58079 |
| Accounting period End | 1 |
| Primary contact name | RYAN SCHULTZ |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KENT JENSEN
PRESIDENT
115 MAIN ST
CHAFFEE ND 58079
Officer/Director/Trustee Two
JON BAUMLER
VICE PRESIDENT
14742 42ND ST SE
CHAFFEE ND 58079
Officer/Director/Trustee Three
RYAN SCHULTZ
TREASURER
4291 145TH AVE SE
CHAFFEE ND 58079
Officer/Director/Trustee Four
LISA BERG
SECRETARY
4447 145TH AVE SE
CHAFFEE ND 58079
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/27/87 |
| Organization Incorporation State | ND |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N61 - Fishing, Hunting Clubs |
| 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 | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | Yes |
| 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 | LISA BERG |
| Signature Title | SECRETARY |
| Signature Date | 10/3/18 |
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