FORM 1023-EZ for SHELL LAKE POLICE FOUNDATION INC

Field Data
EIN 82-2554439
Case Number EO-2018169-000666
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHELL LAKE POLICE FOUNDATION INC
Organization’s Mailing Address 501 1ST ST
City SHELL LAKE
State WI
ZIP 54873
Accounting period End 12
Primary contact name JEFFREY R KOHLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BETHANY FIEDT
PRESIDENT
501 1ST ST
SHELL LAKE WI 54871

Officer/Director/Trustee Two

JASON WILLIAMS
VICE PRESIDENT
501 1ST ST
SHELL LAKE WI 54871

Officer/Director/Trustee Three

TAMMY HOPKE
TREASURER
501 1ST ST
SHELL LAKE WI 54871

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/17
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I11 - Single Organization Support
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BETHANY FIEDT
Signature Title PRESIDENT
Signature Date 6/14/18

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