FORM 1023-EZ for MOUNT HOREB CORNER KICK CLUB INC

Field Data
EIN 83-1444663
Case Number EO-2018218-000533
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOUNT HOREB CORNER KICK CLUB INC
Organization’s Mailing Address PO BOX 396
City MOUNT HOREB
State WI
ZIP 53572
Accounting period End 12
Primary contact name HOLLY GUENTHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGG GUENTHER
PRESIDENT
2189 COUNT ROAD K
BARNEVELD WI 53507

Officer/Director/Trustee Two

JULIE SCHULTZ
VICE PRESIDENT
2377 ERBE ROAD
BLUE MOUNDS WI 53517

Officer/Director/Trustee Three

TAMMY BANFIELD
SECRETARY
1609 THREE WOOD DRIVE
MOUNT HOREB WI 53572

Officer/Director/Trustee Four

LISA SANTOIRRE
SPECIAL EVENTS CHAIR
311 4TH STREET
MOUNT HOREB WI 53572

Officer/Director/Trustee Five

HOLLY GUENTHER
TREASURER
2189 COUNTY ROAD K
BARNEVELD WI 53507

Organization’s website WWW.CORNERKICKCLUB.ORG
Organization’s email MHCORNERKICKCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HOLLY GUENTHER
Signature Title TREASURER
Signature Date 8/2/18

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