FORM 1023-EZ for TOMAH HOLIDAY LIGHTS INC

Field Data
EIN 47-4884315
Case Number EO-2015239-000236
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TOMAH HOLIDAY LIGHTS INC
Organization’s Mailing Address 435 JULIE STREET PO BOX 547
City TOMAH
State WI
ZIP 54660
Accounting period End 12
Primary contact name MIKE MAYHEW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARY JO HILL
DIRECTOR
900 SUPERIOR AVENUE
TOMAH WI 54660

Officer/Director/Trustee Two

FRAN POLLARD
DIRECTOR
510 WEST COUNCIL ST
TOMAH WI 54660

Officer/Director/Trustee Three

PETER REICHARDT
DIRECTOR
9901 ELLSWORTH ROAD
TOMAH WI 54660

Officer/Director/Trustee Four

MARTHA KLATT
DIRECTOR
1200 LAGRANGE AVE
TOMAH WI 54660

Officer/Director/Trustee Five

MIKE MAYHEW
DIRECTOR
2205 MAREN CT
TOMAH WI 54660

Organization’s website N/A
Organization’s email MIKE.MAYHEW@CLACONNECT.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W11 - Single Organization Support
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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