FORM 1023-EZ for CHEQUAMEGON SPORTSMAN CLUB

Field Data
EIN 84-3097865
Case Number EO-2019266-000277
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHEQUAMEGON SPORTSMAN CLUB
Organization’s Mailing Address N4937 ASPEN RD
City PRENTICE
State WI
ZIP 54556
Accounting period End 12
Primary contact name BARBARA HUECKMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN ELLIS
PRESIDENT
W5296 CTY RD A
PRENTICE WI 54556

Officer/Director/Trustee Two

CODY HEIKKINEN
VICE PRESIDENT
N4648 STADIUM RD
BRANTWOOD WI 54513

Officer/Director/Trustee Three

L JAMES WILES
SECRETARY
N4297 ST HWY 13
PRENTICE WI 54556

Officer/Director/Trustee Four

JEFFREY HUECKMAN
TREASURER
N4937 ASPEN RD
PRENTICE WI 54556

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/1994
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y03 - Professional Societies, Associations
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 JEFFREY HUECKMAN
Signature Title TREASURER
Signature Date 9/19/2019

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