FORM 1023-EZ for SHULLSBURG CONSERVATION CLUB INC

Field Data
EIN 61-1627349
Case Number EO-2018313-000168
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHULLSBURG CONSERVATION CLUB INC
Organization’s Mailing Address 230 HELLER CT
City SHULLSBURG
State WI
ZIP 53586
Accounting period End 12
Primary contact name STEVE STAVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM TEUTSCHMANN
PRESIDENT
410 HILLSIDE CT
SHULLSBURG WI 53586

Officer/Director/Trustee Two

DAN WEBSTER
VICE PRESIDENT
243 E PEACE STREET
SHULLSBURG WI 53586

Officer/Director/Trustee Three

DAVE POPP
SECRETARY
226 HELLERS CT
SHULLSBURG WI 53586

Officer/Director/Trustee Four

STEVE STAVER
TREASURER
230 HELLERS CT
SHULSBURG WI 53586

Officer/Director/Trustee Five

DAN SIGWARTH
DIRECTOR
222 E MAIN STREET
SHULLSBURG WI 53586

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/85
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
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 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 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 STEVE STAVER
Signature Title TREASURER
Signature Date 11/7/18

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