FORM 1023-EZ for BEAR LAKE- HAUGEN FIRE FIFGTERS INC

Field Data
EIN 83-2297342
Case Number EO-2019031-000943
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BEAR LAKE- HAUGEN FIRE FIFGTERS INC
Organization’s Mailing Address P O BOX 187
City HAUGEN
State WI
ZIP 54841
Accounting period End 12
Primary contact name PAUL TOFT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL TOFT
CHAIRPERSON
1756 25TH AVE
RICE LAKE WI 54868-9321

Officer/Director/Trustee Two

MASON BARNES
VICE-CHAIRPERSON
2507 17TH ST
RICE LAKE WI 54868-9322

Officer/Director/Trustee Three

JENIFER WHITED
SECRETARY-TREASURER
P O BOX 4
HAUGEN WI 54868-4

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M24 - Fire Prevention, Protection, Control
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PAUL TOFT
Signature Title CHAIRPERSON
Signature Date 1/8/19

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