FORM 1023-EZ for CLEAR LAKE EMT ASSOCIATION INC
| Field | Data |
|---|---|
| EIN | 82-4569772 |
| Case Number | EO-2018095-000406 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CLEAR LAKE EMT ASSOCIATION INC |
| Organization’s Mailing Address | 457 3RD AVE |
| City | CLEAR LAKE |
| State | WI |
| ZIP | 54005-215 |
| Accounting period End | 12 |
| Primary contact name | ADAM VNUK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KERI AQUINO
PRESIDENT
457 3RD AV
CLEAR LAKE WI 54005
Officer/Director/Trustee Two
MISTY WOOD
VICE-PRESIDENT
457 3RD AVE
CLEAR LAKE WI 54005
Officer/Director/Trustee Three
AMY STROBACH
SECRETARY TREASURER
457 3RD AVE
CLEAR LAKE WI 54005
Officer/Director/Trustee Four
ADAM VNUK
DIRECTOR
457 3RD AVE
CLEAR LAKE WI 54005
| Organization’s website | |
|---|---|
| Organization’s email | CLEMTASSN@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/29/18 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | M03 - Professional Societies, Associations |
| 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 | 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 | ADAM VNUK |
| Signature Title | DIRECTOR |
| Signature Date | 3/21/18 |
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