FORM 1023-EZ for ST JOSEPH RIDGE LIONS CHARITIES

Field Data
EIN 81-2847264
Case Number EO-2016226-000013
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ST JOSEPH RIDGE LIONS CHARITIES
Organization’s Mailing Address 1440 JOHNSON ST
City ONALASKA
State WI
ZIP 54650
Accounting period End 12
Primary contact name DARREL DWYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE LUSK
PRESIDENT
N906 COUNTY ROAD PI
COON VALLEY WI 54623

Officer/Director/Trustee Two

DARREL DWYER
SECRETARY
1440 JOHNSON ST
ONALASKA WI 54650

Officer/Director/Trustee Three

ADAM CLEMENTS
TREASURER
N2097 CLEMENTS RD
LA CROSSE WI 54601

Officer/Director/Trustee Four

KEVIN BURNETT
VICE PRESIDENT
W4050 STATE RD 33
LA CROSSE WI 54601

Organization’s website
Organization’s email DARREL.DWYER@CHARTER.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 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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