FORM 1023-EZ for LA CROSSE JAZZ ORCHESTRA INC

Field Data
EIN 82-4168045
Case Number EO-2018162-000363
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LA CROSSE JAZZ ORCHESTRA INC
Organization’s Mailing Address 918 28TH ST S
City LA CROSSE
State WI
ZIP 54601
Accounting period End 12
Primary contact name GREGORY J BALFANY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGORY BALFANY
PRESIDENT
918 28TH ST S
LA CROSSE WI 54601

Officer/Director/Trustee Two

MARK HEINZ
TREASURER
201A W WASHINGTON ST
COLBY WI 54421

Officer/Director/Trustee Three

WILLIAM DOERING
VICE-PRESIDENT
1611 MAIN ST
LA CROSSE WI 54601

Officer/Director/Trustee Four

JULIE DUFF
SECRETARY
3449 STATE RD
LA CROSSE WI 54601

Organization’s website LACROSSEJAZZORCHESTRA.COM
Organization’s email GREGORYBALFANY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
Organization’s purpose Charitable: Yes
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 GREGORY BALFANY
Signature Title PRESIDENT
Signature Date 6/8/18

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