FORM 1023-EZ for MUSSER LAKE ASSOCIATION INC

Field Data
EIN 83-1237616
Case Number EO-2018325-000142
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MUSSER LAKE ASSOCIATION INC
Organization’s Mailing Address P O BOX 327
City PHILLIPS
State WI
ZIP 54555
Accounting period End 12
Primary contact name ELIZABETH MARCHEWKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH MARCHEWKA
PRESIDENT
W3967 MUSSER HEIGHTS LANE
PHILLIPS WI 54555

Officer/Director/Trustee Two

JACK MARCHEWKA
SECRETARY TREASURER
W3967 MUSSER HEIGHTS LANE
PHILLIPS WI 54555

Officer/Director/Trustee Three

DICK WEIK
VICE PRESIDENT
2112 N 25TH STREET
WAUSAU WI 54403

Officer/Director/Trustee Four

STEVE CHRISTENSEN
BOARD MEMBER
W4368 MUSSER DRIVE
PHILLIPS WI 54555

Officer/Director/Trustee Five

TOM HOGE
BOARD MEMBER
N9896 SHADY HOLLOW LANE
PHILLIPS WI 54555

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/89
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C32 - Water Resource, Wetlands Conservation and Management
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ELIZABETH MARCHEWKA
Signature Title PRESIDENT
Signature Date 11/19/18

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