FORM 1023-EZ for BASS LAKE - TOWN OF CASEY - SHORE OWNERS ASSOCIATION

Field Data
EIN 82-2707299
Case Number EO-2018283-000235
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BASS LAKE - TOWN OF CASEY - SHORE OWNERS ASSOCIATION
Organization’s Mailing Address W9015 BADGER LN
City SPOONER
State WI
ZIP 54801
Accounting period End 12
Primary contact name JOSEPH VOSSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH VOSSEN
TREASURER
W9015 BADGER LN
SPOONER WI 54801

Officer/Director/Trustee Two

JANET JACOBSON
PRESIDENT
2275 YOUNGMAN AVE 410W
ST. PAUL MN 55116

Officer/Director/Trustee Three

MARY ANDERSON
SECRETARY
2010 NORTHWOOD DRIVE
NORTH ST. PAUL MN 55109

Officer/Director/Trustee Four

BETSY BURGESON
DIRECTOR
W9065 BIG BASS LAKE RD
SPOONER WI 54801

Officer/Director/Trustee Five

BILL NIMMO
DIRECTOR
N7793 EMERSON CORNER RD
SPOONER WI 54801

Organization’s website
Organization’s email VOSSEN.JOSEPH444@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C32 - Water Resource, Wetlands Conservation and Management
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 JOSEPH VOSSEN
Signature Title TREASURER
Signature Date 10/5/18

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