FORM 1023-EZ for GREAT LAKES ALPACA ASSOCIATION

Field Data
EIN 82-1396710
Case Number EO-2018219-000116
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREAT LAKES ALPACA ASSOCIATION
Organization’s Mailing Address W12002 SLACK ROAD
City LODI
State WI
ZIP 53555
Accounting period End 12
Primary contact name JAN CLINGMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES KONYN
PRESIDENT
6192 VAN HULLE LANE
OCONTO WI 54153

Officer/Director/Trustee Two

LESLIE HERZOG
VICE PRESIDENT
1762 MCCRAREN ROAD
HIGHLAND PARK IL 60035

Officer/Director/Trustee Three

CHRISTINE ROGERS
SECRETARY
4451 WHISPER LANE
DE PERE WI 54115

Officer/Director/Trustee Four

KEVIN STOER
DIRECTOR
6827 HIGHWAY 147
TWO RIVERS WI 54241

Officer/Director/Trustee Five

JANICE CLINGMAN
TREASURER
W12002 SLACK RD
LODI WI 53555

Organization’s website WWW.GREATLAKESALPACA.COM
Organization’s email INFO@GREATLAKESALPACA.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/07
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K26 - Livestock Breeding, Development, Management
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 JANICE CLINGMAN
Signature Title TREASURER
Signature Date 8/3/18

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