FORM 1023-EZ for MIRROR LAKE ASSOCIATION INC

Field Data
EIN 39-1952277
Case Number EO-2019170-000217
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIRROR LAKE ASSOCIATION INC
Organization’s Mailing Address PO BOX 216
City LAKE DELTON
State WI
ZIP 53940-216
Accounting period End 6
Primary contact name CATHERINE SPERL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CATHERINE SPERL
TREASURER
212 XANADU RD UNIT 102
WISCONSIN DELLS WI 53965-8372

Officer/Director/Trustee Two

MARK BLAKESLEE
PRESIDENT
4619 EDGEWOOD CT
MIDDLETON WI 53562-4289

Officer/Director/Trustee Three

MARC JAEGER
VICE PRESIDENT
742 BRAINTREE LANE
BARTLETT IL 60103-4574

Officer/Director/Trustee Four

DAVE CLEMENS
SECRETARY
E10191 PICKEREL SLOUGH RD
WISCONSIN DELLS WI 53965-7910

Officer/Director/Trustee Five

GREG GUSTAFSON
DIRECTOR
2803 W JOHN
CHAMPAIGN IL 61821-3515

Organization’s website MIRRORLAKE.LAKEKIT.NET
Organization’s email CATHERINE.SPERL2@FRONTIER.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/98
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CATHERINE SPERL
Signature Title TREASURER
Signature Date 6/17/19

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