FORM 1023-EZ for MISS RODEO WISCONSIN PAGEANT

Field Data
EIN 39-2020529
Case Number EO-2014322-000166
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISS RODEO WISCONSIN PAGEANT
Organization’s Mailing Address N3481 WAHLER RD
City TIGERTON
State WI
ZIP 54486-8704
Accounting period End 12
Primary contact name JILL KREKLOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LAURA NIELSEN
PRESIDENT
12319 463RD AVE
SISSETON SD 57262

Officer/Director/Trustee Two

SHELBY LANG
VICE-PRESIDENT
2129 HAZEL ST APT D
OSHKOSH WI 54901

Officer/Director/Trustee Three

PATRICIA BREITENFELDT
SECRETARY/TREASURER
N3481 WAHLER RD
TIGERTON WI 54486

Officer/Director/Trustee Four

JILL KREKLOW
STATE DIRECTOR
E7450 SYMCO RD
BEAR CREEK WI 54922

Officer/Director/Trustee Five

BRAYVYN BROCKMAN
DIRECTOR
13729 FUNNEL RD
CAMP DOUGLAS WI 54618

Organization’s website WWW.MISSRODEOWISCONSIN.COM
Organization’s email JKREKLOW@WOLFNET.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/2002
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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