FORM 1023-EZ for MIDDLETON YOUTH LACROSSE CLUB INC

Field Data
EIN 82-4246821
Case Number EO-2018064-000140
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIDDLETON YOUTH LACROSSE CLUB INC
Organization’s Mailing Address PO BOX 348
City BLACK EARTH
State WI
ZIP 53515
Accounting period End 12
Primary contact name KAY MILLONZI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREG KEENAN
PRESIDENT
407 FARGO TR
MIDDLETON WI 53562

Officer/Director/Trustee Two

DAN KLOEPPING
VICE PRESIDENT
7743 SUMMERFIELD DR
VERONA WI 53593

Officer/Director/Trustee Three

LYNNE BALLWEG
SECRETARY/TREASURER
7690 W OLD SAUK RD
VERONA WI 53593

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/18
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: 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LYNNE BALLWEG
Signature Title SECRETARY/TREASURER
Signature Date 3/1/18

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