FORM 1023-EZ for AVALANCHE BLUELINE CLUB INC

Field Data
EIN 46-1240333
Case Number EO-2014330-000206
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AVALANCHE BLUELINE CLUB INC
Organization’s Mailing Address 508 17TH AVE
City MONROE
State WI
ZIP 53566
Accounting period End 12
Primary contact name GOTTLIEB S BRANDLI JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GOTTLIEB BRANDLI JR
PRESIDENT
508 17TH AVE
Monroe WI 53566

Officer/Director/Trustee Two

BRIAN WYSS
VICE PRESIDENT
525 MEADOW GREEN CT
MONROE WI 53566

Officer/Director/Trustee Three

GOTTLIEB BRANDLI III
SECRETARY
1118 ANN ST
MADISON WI 53713

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2012
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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