FORM 1023-EZ for MENOMINEE CANINE ASSOCIATION

Field Data
EIN 84-2907083
Case Number EO-2019268-000143
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENOMINEE CANINE ASSOCIATION
Organization’s Mailing Address W3269 COURTHOUSE LANE - P O BOX 264
City KESHENA
State WI
ZIP 54135
Accounting period End 12
Primary contact name LISA WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NORA JENDE
OFFICER
W2021 CO ROAD V V
KESHENA WI 54135

Officer/Director/Trustee Two

TIMOTHY GATZ
OFFICER
N1671 SUNDANCE TRAIL
KESHENA WI 54135

Officer/Director/Trustee Three

TANYA SHERMAN
OFFICER
N6546 STATE HWY 47/55
SHAWANO WI 54166

Officer/Director/Trustee Four

LISA WILSON
OFFICER
N1420 WOOD DUCK WAY
KESHENA WI 54135

Officer/Director/Trustee Five

STEVE SCHUH
OFFICER
N1363 RAINBOW ROAD
KESHENA WI 54135

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I60 - Law Enforcement Agencies (Police Departments)
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 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 LISA WILSON
Signature Title OFFICER
Signature Date 9/23/19

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