FORM 1023-EZ for WISCONSIN HIGH SCHOOL ESPORTS ASSOCIATION INC

Field Data
EIN 84-2135320
Case Number EO-2019186-000066
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WISCONSIN HIGH SCHOOL ESPORTS ASSOCIATION INC
Organization’s Mailing Address 345 FRAME AVE
City WAUKESHA
State WI
ZIP 53186
Accounting period End 6
Primary contact name MICHAEL DAHLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRYAN ERSKINE
TREASURER
N6572 HICKORY RD
ELKHORN WI 53121

Officer/Director/Trustee Two

NATHANIEL DELANO
SECRETARY
806 CANTERBERRY CT UNIT C
WEST BEND WI 53090

Officer/Director/Trustee Three

JAMES OHAGAN
MEMBER
1230 MONROE AVE
RACINE WI 53405

Officer/Director/Trustee Four

DAVID LOCKSTEIN
MEMBER
N3501 OXBOW RD
COLUMBUS WI 53925

Officer/Director/Trustee Five

MICHAEL DAHLE
DIRECTOR
345 FRAME AVENUE
WAUKESHA WI 53186

Organization’s website WIHSEA.ORG
Organization’s email WISCONSIN.ESPORTS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/17
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 MICHAEL DAHLE
Signature Title DIRECTOR
Signature Date 7/2/19

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