FORM 1023-EZ for PHILLIPS SPORTSMENS CLUB INC

Field Data
EIN 82-5241046
Case Number EO-2018113-000662
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PHILLIPS SPORTSMENS CLUB INC
Organization’s Mailing Address N10667 RAILROAD LANE
City PHILLIPS
State WI
ZIP 54555-7705
Accounting period End 12
Primary contact name PATRICIA A MICHEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LANCE HEIZLER
PRESIDENT
W7753 COUNTY ROAD W
PHILLIPS WI 54555-7705

Officer/Director/Trustee Two

PATRICIA MICHEK
SECRETARY/TREASURER
N10667 RAILROAD LANE
PHILLIPS WI 54555-7705

Officer/Director/Trustee Three

JAMES NESBIT
BOARD OF DIRECTOR
W7255 S MINNOW LAKE ROAD
PHILLIPS WI 54555-7705

Officer/Director/Trustee Four

JAMES HEIZLER
BOARD OF DIRECTOR
W7799 COUNTY ROAD W
PHILLIPS WI 54555-7705

Officer/Director/Trustee Five

DAVID PISCA
BOARD OF DIRECTOR
N10460 OLD 13 ROAD
PHILLIPS WI 54555-7705

Organization’s website N/A
Organization’s email SHOOTERS@PCTCNET.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/73
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
Correctness Declaration Yes
Signature Name LANCE HEIZLER
Signature Title PRESIDENT
Signature Date 4/20/18

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