FORM 1023-EZ for COLUMBIA COUNTY TAVERN LEAGUE

Field Data
EIN 47-2110255
Case Number EO-2018222-000368
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLUMBIA COUNTY TAVERN LEAGUE
Organization’s Mailing Address 341 ROOSEVELT STREET
City RIO
State WI
ZIP 53960
Accounting period End 4
Primary contact name CRAIG CORNING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA THOMPSON
PRESIDENT/TREASURER
341 ROOSEVELT STREET
RIO WI 53960

Officer/Director/Trustee Two

TARA GLENDENNING
VICE PRESIDENT
1207 DUNN STREET
PORTAGE WI 53901

Officer/Director/Trustee Three

ADAM POHLKAMP
SECRETARY
312 DEWITT STREET
PORTAGE WI 53901

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/91
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 Yes
Compensation of Officer director trustee No
Donation of funds Yes
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 Yes
Correctness Declaration Yes
Signature Name LISA THOMPSON
Signature Title PRESIDENT/TREASURER
Signature Date 8/8/18
EIN 47-2110255
Case Number EO-2014295-000354
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COLUMBIA COUNTY TAVERN LEAGUE
Organization’s Mailing Address 341 ROOSEVELT STREET
City RIP
State WI
ZIP 53960
Accounting period End 4
Primary contact name LISA THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LISA THOMPSON
PRESIDENT/TREASURER
341 ROOSEVELT STREET
RIO WI 53960

Officer/Director/Trustee Two

MARK ROWLEY
VICE PRESIDENT
N3603 US HWY 51
POYNETTE WI 53955

Officer/Director/Trustee Three

JOYCE BARTELS
SECRETARY
885 FOREST CIRCLE
FOND DU LAC WI 54935

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/1991
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I23 - Drunk Driving Related
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 Yes
Compensation of Officer director trustee No
Donation of funds Yes
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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