FORM 1023-EZ for GUARDIANS OF LAKE DECORAH INC

Field Data
EIN 86-1970907
Case Number EO-2021172-000269
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GUARDIANS OF LAKE DECORAH INC
Organization’s Mailing Address 303 MANSION ST
City MAUSTON
State WI
ZIP 53948
Accounting period End 12
Primary contact name NICHOLAS FLANAGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TONYA PETRICK
INITIAL DIRECTOR
N8253 POPLAR LANE
NEW LISBON WI 53950

Officer/Director/Trustee Two

RANDY REEG
INITIAL DIRECTOR
17801 45TH AVENUE
CHIPPEWA FALLS WI 54729

Officer/Director/Trustee Three

MIKE TAAKE
INITIAL DIRECTOR
947 ELM STREET
MAUSTON WI 53948

Officer/Director/Trustee Four

JORDAN WILKE
INITIAL DIRECTOR
721 GROVE STREET
MAUSTON WI 53948

Officer/Director/Trustee Five

JIM ALLABY
INITIAL DIRECTOR
709 HALF W STATE STREET
MAUSTON WI 53948

Organization’s website WWW.FACEBOOK.COM LAKEDECORAH
Organization’s email LAKEDECORAH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C01 - Alliance/Advocacy Organizations
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 TONYA PETRICK
Signature Title INITIAL DIRECTOR
Signature Date 6/17/2021

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