FORM 1023-EZ for PARKER LAKE ASSOCIATION

Field Data
EIN 39-1997217
Case Number EO-2016102-000225
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PARKER LAKE ASSOCIATION
Organization’s Mailing Address PO BOX 482
City OXFORD
State WI
ZIP 53952
Accounting period End 12
Primary contact name ERIC EDWARDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

R ERIC EDWARDS
PRESIDENT
3317 EAST PARKER LAKE RD
OXFORD WI 53952

Officer/Director/Trustee Two

PETE SENNETT
VICE PRESIDENT
1960 CARLSBAD CIRCLE
NAPERVILLE IL 60563

Officer/Director/Trustee Three

STEVE MILLER
TREASURER
2275 COBBLESTONE LANE
BELOIT WI 53511

Officer/Director/Trustee Four

MARY ANN DAMM
SECRETARY
1142 WABAN HILL
MADISON WI 53711

Officer/Director/Trustee Five

MIKE DAMM
LAKE MANAGEMENT CHAIRMAN
1142 WABAN HILL
MADISON WI 53711

Organization’s website PARKERLAKEASSOCIATION.ORG
Organization’s email PARKERLAKE.MARYANN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/2003
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: 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
Signature Title
Signature Date

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