FORM 1023-EZ for NORTHWOODS BLIZZARD BLAST INCORPORATED

Field Data
EIN 47-2086742
Case Number EO-2017009-000407
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHWOODS BLIZZARD BLAST INCORPORATED
Organization’s Mailing Address 5315 HWY 45 N
City CONOVER
State WI
ZIP 54519
Accounting period End 12
Primary contact name LANNY STUDDARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LANNY STUDDARD
CHAIRMAN
5315 HWY 45 N
CONOVER WI 54519

Officer/Director/Trustee Two

KELLY KRAETSCH
OFFICER
2560 SOUTH SHORE RD
PHELPS WI 54554

Officer/Director/Trustee Three

MAX BITTENBENDER
OFFICER
1075 CATFISH LAKE RD
EAGLE RIVER WI 54521

Officer/Director/Trustee Four

SHARON OLANDER
OFFICER
3777 HICKSON BANKS ROAD
CONOVER WI 54519

Officer/Director/Trustee Five

DEBBIE JENSEN
OFFICER
3791 HICKSON BANKS ROAD
CONOVER WI 54519

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2014
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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
Signature Title
Signature Date

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