FORM 1023-EZ for LA CROSSE COUNTY DAIRY BREAKFAST COMMITTEE

Field Data
EIN 47-2096189
Case Number EO-2014325-000231
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LA CROSSE COUNTY DAIRY BREAKFAST COMMITTEE
Organization’s Mailing Address 221 STATE HIGHWAY 27
City CASHTON
State WI
ZIP 54619
Accounting period End 12
Primary contact name DEBRA SCHWARZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBRA SCHWARZ
CHAIRPERSON
221 STATE HIGHWAY 27
CASHTON WI 54619

Officer/Director/Trustee Two

PAUL LASH
TREASURER
W1978 DAVIS CREEK ROAD
MINDORO WI 54644

Officer/Director/Trustee Three

MELISSA SCHAUB
SECRETARY
W415 STATE ROAD 33
ROCKLAND WI 54653

Officer/Director/Trustee Four

JEFF HEITKAMP
TRUSTEE
W328 COUNTY ROAD A
MINDORO WI 54644

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2014
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K99 - Food, Agriculture, and Nutrition N.E.C.
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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