FORM 1023-EZ for SOUTHEASTERN LAKES SCHOLASTIC MOUNTAIN BIKE ASSOCIATION

Field Data
EIN 84-2054620
Case Number EO-2020066-000410
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHEASTERN LAKES SCHOLASTIC MOUNTAIN BIKE ASSOCIATION
Organization’s Mailing Address POB 580662
City PLEASANT PRAIRIE
State WI
ZIP 53158-8081
Accounting period End 12
Primary contact name JULIE LANG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIE LANG
PRESIDENT
8946 ARBOR HILL DRIVE
MOUNT PLEASANT WI 53406-2489

Officer/Director/Trustee Two

DAVID BENDER
COACH DIRECTOR
6614 60TH AVE
KENOSHA WI 53142-2937

Officer/Director/Trustee Three

GINGER RANDOLPH
VICE PRESIDENT
899 N SCHOOL ST
SILVER LAKE WI 53170-1403

Officer/Director/Trustee Four

CAROLYNN POWERS
TREASURER
4329 WOOD DUCK WAY
RACINE WI 53403-4092

Officer/Director/Trustee Five

KATIE LINDSTROM
SECRETARY
5466 BARNWOOD DR
GURNEE IL 60031-1062

Organization’s website WWW.SLSMTB.COM
Organization’s email SLSMTBBOARD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/2019
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JULIE LANG
Signature Title PRESIDENT
Signature Date 3/4/2020

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