FORM 1023-EZ for WISCONSIN HICKORY ASSOCIATION

Field Data
EIN 47-3495076
Case Number EO-2015089-000085
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WISCONSIN HICKORY ASSOCIATION
Organization’s Mailing Address 571 COUNTY ROAD A
City GREEN LAKE
State WI
ZIP 54941
Accounting period End 12
Primary contact name MIKE STARSHAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MIKE STARSHAK
PRESIDENT
W3755 BEYERS COVE ROAD
PRINCETON WI 54968

Officer/Director/Trustee Two

SARAH NAPARALLA
VICE PRESIDENT
N7984 POND LILY ROAD
NESHKORO WI 54960

Officer/Director/Trustee Three

CAROLE DECRAMER
SECRETARY
115 WEST MAIN STREET
BRANDON WI 53919

Officer/Director/Trustee Four

KEVIN DECRAMER
TREASURER
115 WEST MAIN STREET
BRANDON WI 53919

Organization’s website WWW.WIHICKORY.ORG
Organization’s email WIHICKORY@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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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