FORM 1023-EZ for LAKES COMMUNITY BROADCASTING INC

Field Data
EIN 83-1921352
Case Number EO-2018297-000288
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKES COMMUNITY BROADCASTING INC
Organization’s Mailing Address 39701 60TH STREET
City BURLINGTON
State WI
ZIP 53105
Accounting period End 12
Primary contact name SEAN HAUSER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER ZEMAN
PRESIDENT
37445 W PARK LANE
LAKE VILLA IL 60046

Officer/Director/Trustee Two

HARLEY WOZNIAK
TREASURER
9818 256TH AVE
SALEM WI 53168

Officer/Director/Trustee Three

CHRISTOPHER BROWN
SECRETARY
39701 60TH STREET
BURLINGTON WI 53105

Officer/Director/Trustee Four

CAROLINE BROWN
DIRECTOR
39701 60TH STREET
BURLINGTON WI 53105

Officer/Director/Trustee Five

SEAN HAUSER
OPERATIONS MANAGER
631 BLAZING STAR DRIVE
LAKE VILLA IL 60046

Organization’s website WWW.LAKESRADIO.ORG
Organization’s email TOOLS@LAKESTADIO.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A34 - Radio
Organization’s purpose Charitable: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SEAN HAUSER
Signature Title OPERATIONS MANAGER
Signature Date 10/22/18

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