FORM 1023-EZ for JACK LAKE SILENT SPORTS ASSOCIATIONLIMITED

Field Data
EIN 83-2802278
Case Number EO-2018348-000224
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACK LAKE SILENT SPORTS ASSOCIATIONLIMITED
Organization’s Mailing Address 261 HWY 45
City PELICAN LAKE
State WI
ZIP 54463-9575
Accounting period End 12
Primary contact name BETH WAGNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BETH WAGNER
PRESIDENT
261 HWY 45
PELICAN LAKE WI 54463-9575

Officer/Director/Trustee Two

LACEY STENSBERG
TREASURER
W10812 EVIE LN
ELCHO WI 54428-9561

Officer/Director/Trustee Three

DOMINIC FRANDRUP
SECRETARY
214 VIRGINIA ST
ANTIGO WI 54409-2666

Organization’s website WWW.FACEBOOK.COM/JACKLAKESSA
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 DOMINIC FRANDRUP
Signature Title SECRETARY
Signature Date 12/12/18

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