FORM 1023-EZ for FOREST COUNTY AGRICULTURAL SOCIETY INC

Field Data
EIN 61-1788328
Case Number EO-2017153-000299
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOREST COUNTY AGRICULTURAL SOCIETY INC
Organization’s Mailing Address 400 ELM STREET APT 29
City CRANDON
State WI
ZIP 54520
Accounting period End 12
Primary contact name HOWARD SIPPLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOWARD SIPPLE
PRESIDENT
400 ELM ST APT 29
CRANDON WI 54520

Officer/Director/Trustee Two

DENNIS THIEL
VICE PRESIDENT
11747 THIEL DRIVE
CRANDON WI 54520

Officer/Director/Trustee Three

JAMES RENNER
SEC/TREAS
CHURCH OF GOD
CRANDON WI 54520

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O52 - Youth Development - Agricultural
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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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