FORM 1023-EZ for CLINTONVILLE FIREMENS ASSOCIATION INC

Field Data
EIN 39-1481115
Case Number EO-2019172-000069
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLINTONVILLE FIREMENS ASSOCIATION INC
Organization’s Mailing Address 36 LENS COURT
City CLINTONVILLE
State WI
ZIP 54929
Accounting period End 12
Primary contact name NATHAN TESKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATHAN TESKE
PRESIDENT
56 W 14TH STREET
CLINTONVILLE WI 54929

Officer/Director/Trustee Two

KEITH GRAPER
SECRETARY/TREASURER
87 BUCHOLTZ PARK ROAD
CLINTONVILLE WI 54929

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/83
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M24 - Fire Prevention, Protection, Control
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name NATHAN TESKE
Signature Title PRESIDENT
Signature Date 6/18/19

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