FORM 1023-EZ for LAKE PARK SPORTSMEN CLUB INC

Field Data
EIN 81-5485417
Case Number EO-2020013-000341
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE PARK SPORTSMEN CLUB INC
Organization’s Mailing Address W1980 OCONNOR CT
City FREEDOM
State WI
ZIP 54130
Accounting period End 3
Primary contact name DICK STURM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JON BREIER
PRESIDENT
W1980 OCONNOR CT
FREEDOM WI 54130

Officer/Director/Trustee Two

JON HABECK
VICE PRESIDENT
W1569 MIDDLE DR
PULASKI WI 54162

Officer/Director/Trustee Three

ANDY HERMUS
SECRETARY
29 OPPORTUNITY WAY
APPLETON WI 54915

Officer/Director/Trustee Four

DAVID SWANTON
TREASURER
N3502 POHLMAN
HORTONVILLE WI 54944

Officer/Director/Trustee Five

RICHARD C STURM
DIRECTOR
1203 GREENWOOD CT
MENASHA WI 54952

Organization’s website
Organization’s email LAKEPARKSPORTSMENSCLUB@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/1964
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
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 Yes
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 RICHARD C STURM
Signature Title DIRECTOR
Signature Date 1/10/2020

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