FORM 1023-EZ for CLINTONVILLE GOODFELLOWS ASSOCIATION

Field Data
EIN 39-1919671
Case Number EO-2016035-000220
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLINTONVILLE GOODFELLOWS ASSOCIATION
Organization’s Mailing Address PO BOX 135
City CLINTONVILLE
State WI
ZIP 54929
Accounting period End 12
Primary contact name MARIANNE HINTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEVE CONRADT
PRESIDENT
169 HARRIET STREET
CLINTONVILLE WI 54929

Officer/Director/Trustee Two

LORI MATTES
SECRETARY
86 BRIX STREET
CLINTONVILLE WI 54929

Officer/Director/Trustee Three

MARIANNE HINTZ
TREASURER
E7763 KNITT ROAD
CLINTONVILLE WI 54929

Officer/Director/Trustee Four

TOM LEDERER
VICE PRESIDENT
93 - 13TH STREET
CLINTONVILLE WI 54929

Officer/Director/Trustee Five

JOAN WILSON
DIRECTOR
E9570 STATE HIGHWAY 76
BEAR CREEK WI 54922

Organization’s website NONE
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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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