FORM 1023-EZ for TH CIRCLEK INTERNATIONAL CLUBOFTHEUNIVERSITY WISCONSIN LA CROSSE INC

Field Data
EIN 83-1217739
Case Number EO-2018208-000328
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TH CIRCLEK INTERNATIONAL CLUBOFTHEUNIVERSITY WISCONSIN LA CROSSE INC
Organization’s Mailing Address 1725 STATE ST 403S WIMBERLY HALL
City LA CROSSE
State WI
ZIP 54601
Accounting period End 12
Primary contact name LAURIE MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SKYE MATULA
PRESIDENT
104 NORTH 11TH STREET
LA CROSSE WI 54601

Officer/Director/Trustee Two

HANNAH FROMM
TREASURER
1824 LA CROSSE STREET
LA CROSSE WI 54601

Officer/Director/Trustee Three

ANDREW UNSETH
SECRETARY
S5406 WAPP HILL ROAD
GENOA WI 54632

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/22/17
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name HANNAH FROMM
Signature Title TREASURER
Signature Date 7/25/18
EIN 83-1217739
Case Number EO-2018208-000328
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TH CIRCLEK INTERNATIONAL CLUBOFTHE UNIVERSITY WISCONSIN LA CROSSE INC
Organization’s Mailing Address 1725 STATE ST 403S WIMBERLY HALL
City LA CROSSE
State WI
ZIP 54601
Accounting period End 12
Primary contact name LAURIE MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SKYE MATULA
PRESIDENT
104 NORTH 11TH STREET
LA CROSSE WI 54601

Officer/Director/Trustee Two

HANNAH FROMM
TREASURER
1824 LA CROSSE STREET
LA CROSSE WI 54601

Officer/Director/Trustee Three

ANDREW UNSETH
SECRETARY
S5406 WAPP HILL ROAD
GENOA WI 54632

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/22/17
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name HANNAH FROMM
Signature Title TREASURER
Signature Date 7/25/18

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