FORM 1023-EZ for GLACIER RIDGE ANTIQUE TRACTOR CLUBINC

Field Data
EIN 90-0884041
Case Number EO-2016060-000154
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GLACIER RIDGE ANTIQUE TRACTOR CLUBINC
Organization’s Mailing Address PO BOX 84
City ROSHOLT
State WI
ZIP 54473
Accounting period End 2
Primary contact name BOB OSTROWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BOB OSTROWSKI
PRESIDENT
2103 KOZELEK RD
ROSHOLT WI 54473

Officer/Director/Trustee Two

MARK BAUER
VICE PRESIDENT
3311 COUNTY RD Y
CUSTER WI 54423

Officer/Director/Trustee Three

DARLENE BAUER
TREASURER
3311 COUNTY RD Y
CUSTER WI 54423

Officer/Director/Trustee Four

HELEN BASINSKI
SECRETARY
7692 TWIN LAKE RD
ROSHOLT WI 54473

Organization’s website
Organization’s email GLACIERRIDGETRACTOR@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/2013
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K20 - Agricultural Programs
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 Yes
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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