FORM 1023-EZ for ANTIGO AREA COMMUNITY BAND

Field Data
EIN 61-1735158
Case Number EO-2016195-000247
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANTIGO AREA COMMUNITY BAND
Organization’s Mailing Address W11157 BOGUS RD
City DEERBROOK
State WI
ZIP 54424-9215
Accounting period End 12
Primary contact name LAWRENCE ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHY SCHULTZ
PRESIDENT
4858 HANSON RD
ANTIGO WI 54409-8531

Officer/Director/Trustee Two

KATHRYN GORICHAN
VICE-PRESIDENT
1822 FIRST AVE
ANTIGO WI 54409-1180

Officer/Director/Trustee Three

CONNIE MARCINIAK
SECRETARY
N11783 WEST SHORE DR
ELCHO WI 54428-9784

Officer/Director/Trustee Four

LAWRENCE ANDERSON
TREASURER
W11157 BOGUS RD
DEERBROOK WI 54424-9215

Officer/Director/Trustee Five

KAREN TREMBATH
ADVISOR
N1340 LAKEVIEW LN
ANTIGO WI 54409-8799

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/2014
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: 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 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
Signature Title
Signature Date

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