| Field | Data |
|---|---|
| EIN | 39-1467646 |
| Case Number | EO-2020226-000456 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LONG LAKE-TIPLER RESCUE SQUAD LTD |
| Organization’s Mailing Address | PO BOX 137 |
| City | LONG LAKE |
| State | WI |
| ZIP | 54542 |
| Accounting period End | 12 |
| Primary contact name | DIANA HENSLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
LEE GORR
PRESIDENT
PO BOX 24
LONG LAKE WI 54542
CAYLA HENNING
VICE PRESIDENT
616 NEGAUNEE ST
FLORENCE WI 54121
RENEE ANDERSEN
TREASURER
4404 SEIFERT RD
LONG LAKE WI 54542
DIANA HENSLEY
SECRETARY/ASST SERVICE DIRECTOR
11845 LILY PAD RD
TIPLER WI 54542
AMANDA MULVEY
SERVICE DIRECTOR
PO BOX 173
LONG LAKE WI 54542
| Organization’s website | |
|---|---|
| Organization’s email | LONGLAKETIPLERRESCUESQUAD@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/23/2017 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E62 - Ambulance, Emergency Medical Transport Services |
| 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 | 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | DIANA HENSLEY |
| Signature Title | SECRETARY/ASST SERVICE DIRECTOR |
| Signature Date | 8/11/2020 |
| EIN | 39-1467646 |
| Case Number | EO-2017255-000040 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | LONG LAKE TIPLER RESCUE SQUAD LTD |
| Organization’s Mailing Address | PO BOX 137 |
| City | LONG LAKE |
| State | WI |
| ZIP | 54542-0137 |
| Accounting period End | 12 |
| Primary contact name | DIANA HENSLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
LEE GORR
PRESIDENT
PO BOX 24
LONG LAKE WI 54542-0024
AMANDA MULVEY
SERVICE DIRECTOR/VP
PO BOX 173
LONG LAKE WI 54542-0173
DIANA HENSLEY
ASST. SERVICE DIRECTOR
11845 LILY PAD ROAD
TIPLER WI 54542-9783
RENEE ANDERSEN
TREASURER
4404 SEIFERT ROAD
LONG LAKE WI 54542-9761
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/23/2017 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E62 - Ambulance, Emergency Medical Transport Services |
| 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 | 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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