FORM 1023-EZ for LITTLE BEARSKIN LAKE ASSOCIATION INC

Field Data
EIN 45-3913998
Case Number EO-2018110-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LITTLE BEARSKIN LAKE ASSOCIATION INC
Organization’s Mailing Address P O BOX 334
City HAZELHURST
State WI
ZIP 54531-334
Accounting period End 9
Primary contact name RICHARD A RAYMAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AL BUTKUS
PRESIDENT
602 HINMAN AVE
EVANSTON IL 60202

Officer/Director/Trustee Two

RON KNOLL
VICE PRESIDENT
P O BOX 334
HAZELHURST WI 54531-334

Officer/Director/Trustee Three

GLEN SONTAG
TREASURER
9335 LITTLE BEARSKIN CREEK
HARSHAW WI 54529

Officer/Director/Trustee Four

CAROLYN RAYMAKER
SECRETARY
W331N5467 LINDEN CIRCLE EAST
NASHOTAH WI 53058

Officer/Director/Trustee Five

RICHARD RAYMAKER
ASST TREASURER
W331N5467 LINDEN CIRCLE EAST
NASHOTAH WI 53058

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/89
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C32 - Water Resource, Wetlands Conservation and Management
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 RICHARD RAYMAKER
Signature Title ASST TREASURER
Signature Date 4/18/18

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