FORM 1023-EZ for BUOYANT FORCE INCORPORATED

Field Data
EIN 83-4003438
Case Number EO-2019140-000307
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BUOYANT FORCE INCORPORATED
Organization’s Mailing Address 412 OAK FOREST DRIVE
City ONALASKA
State WI
ZIP 54650
Accounting period End 12
Primary contact name JEFFERY A ZILLIOX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFERY ZILLIOX
PRESIDENT AND DIRECTOR
412 OAK FOREST DRIVE
ONALASKA WI 54650

Officer/Director/Trustee Two

MIKE QUINN
VICE PRESIDENT AND DIRECTOR
W5968 SCHULZ LANE
ONALASKA WI 54650

Officer/Director/Trustee Three

TAMAIME NIMMO
SECRETARY AND DIRECTOR
200 ROCK STREET
ROCKLAND WI 54653

Officer/Director/Trustee Four

DAVID HARRELL
TREASURER AND DIRECTOR
220 2ND STREET
GAYS MILLS WI 54631

Officer/Director/Trustee Five

WILLIAM BINNEBOSE
DIRECTOR
2515 2ND AVENUE W
LA CROSSE WI 54603

Organization’s website
Organization’s email JEFF@DIVECENTERS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
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 JEFFERY ZILLIOX
Signature Title PRESIDENT AND DIRECTOR
Signature Date 5/17/19

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