FORM 1023-EZ for FALL CLASSIC TOURNAMENT OF CHAMPIONS INC

Field Data
EIN 81-1026996
Case Number EO-2018057-000628
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FALL CLASSIC TOURNAMENT OF CHAMPIONS INC
Organization’s Mailing Address 5161 RUMMELS ROAD
City CONOVER
State WI
ZIP 54519
Accounting period End 12
Primary contact name LIONEL KLISS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT SAMUELS
PRESIDENT/TREASURER
5161 RUMMELS ROAD
CONOVER WI 54519

Officer/Director/Trustee Two

LIONEL KLISS
VICE PRESIDENT/SECRETARY
1360 LAKE TERRACE ESTATES
THREE LAKES WI 54562

Officer/Director/Trustee Three

ALAN PHILLIPS
DIRECTOR
R8308 ROCKY ROAD
RINGLE WI 54471

Officer/Director/Trustee Four

DAN WOJTUSIK
DIRECTOR
1591 EAST DOLLAR LAKE ROAD
EAGLE RIVER WI 54521

Organization’s website
Organization’s email FALLCLASSIC@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/25/15
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 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 LIONEL KLISS
Signature Title VICE PRESIDENT/SECRETARY
Signature Date 2/24/18

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