FORM 1023-EZ for GREAT LAKES SEARCH RESCUE K-9 INC

Field Data
EIN 27-4003460
Case Number EO-2014356-000339
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREAT LAKES SEARCH RESCUE K-9 INC
Organization’s Mailing Address 13628 WILLMAS ROAD
City NEWTON
State WI
ZIP 53063
Accounting period End 12
Primary contact name GRACE M SALM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GRACE SALM
INCORPORATOR/TREASURER
13628 WILLMAS ROAD
NEWTON WI 53063

Officer/Director/Trustee Two

ROBERT CRAMER
PRESIDENT
N2211 FRONTAGE ROAD
OOSTBURG WI 53070

Officer/Director/Trustee Three

JULIE CRAMER
VICE PRESIDENT
N2211 FRONTAGE ROAD
OOSTBURG WI 53070

Officer/Director/Trustee Four

DR JOSEPH SUTTON
DIRECTOR
1415 MEMORIAL DRIVE
MANITOWOC WI 54220

Officer/Director/Trustee Five

JASON WILTERDINK
DIRECTOR
516 NORTH RAPID ROADS
MANITOWOC WI 54220

Organization’s website
Organization’s email GSALM@TDS.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/2009
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M23 - Search and Rescue Squads, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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