FORM 1023-EZ for VAN ZILE LAKE ASSOCIATION INC

Field Data
EIN 47-1681812
Case Number EO-2015275-000232
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VAN ZILE LAKE ASSOCIATION INC
Organization’s Mailing Address 4968 N NICOLET ROAD
City NEWALD
State WI
ZIP 54511
Accounting period End 12
Primary contact name LUANN DOLL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATRICK DOLL
PRESIDENT
6130 HILLDALE DRIVE
HARTFORD WI 53027

Officer/Director/Trustee Two

JUDY KNIESS
VICE-PRESIDENT-TREASURER
10225 ANVEL ROAD
NEWALD WI 54511

Officer/Director/Trustee Three

LUANN DOLL
SECRETARY
6130 HILLDALE DRIVE
HARTFORD WI 53027

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/2014
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: 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 Yes
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
Signature Title
Signature Date

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