FORM 1023-EZ for VERNON COUNTY ENERGY DISTRICT INC

Field Data
EIN 85-1097045
Case Number EO-2020234-000053
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VERNON COUNTY ENERGY DISTRICT INC
Organization’s Mailing Address S8293 PRESTEGARD ROAD
City READSTOWN
State WI
ZIP 54652
Accounting period End 12
Primary contact name ALAN BUSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALAN BUSS
PRESIDENT
S8293 PRESTEGARD ROAD
READSTOWN WI 54652

Officer/Director/Trustee Two

SAMANTHA LASKOWSKI
VICE PRESIDENT
S4794 LIEURANCE ROAD
LA FARGE WI 54639

Officer/Director/Trustee Three

ROB DANIELSON
SECRETARY
S3897 PLUM RUN ROAD
LA FARGE WI 54639

Officer/Director/Trustee Four

ALICIA LEINBERGER
TREASURER
330 MINSHALL AVE
VIROQUA WI 54665

Officer/Director/Trustee Five

TOBY GROTZ
DIRECTOR
216 HILLYER STREET
VIROQUA WI 54665

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C35 - Energy Resources Conservation and Development
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 ALAN BUSS
Signature Title PRESIDENT
Signature Date 8/19/2020

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