FORM 1023-EZ for PLEASANT LAKE BAY ENVIRONMENTAL GROUP INC

Field Data
EIN 82-1811496
Case Number EO-2018239-000499
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PLEASANT LAKE BAY ENVIRONMENTAL GROUP INC
Organization’s Mailing Address N8233 PLEASANT HILL LN
City EAST TROY
State WI
ZIP 53120
Accounting period End 12
Primary contact name BERNIE SLUPIK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BERNIE SLUPIK
PRESIDENT & TREASURER
N8233 PLEASANT LAKE LN
EAST TROY WI 53120

Officer/Director/Trustee Two

VAL PAVASARS
VICE PRESIDENT
N8229 PLEASANT LAKE LN
EAST TROY WI 53120

Officer/Director/Trustee Three

BARB GIRMAN
SECRETARY
W4952 OAKWOOD DR
EAST TROY WI 53120

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/17
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: 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 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 BERNIE SLUPIK
Signature Title PRESIDENT & TREASURER
Signature Date 8/23/18

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