FORM 1023-EZ for WYAS SOUTH WEST DISTRICT

Field Data
EIN 45-1774574
Case Number EO-2017138-000258
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WYAS SOUTH WEST DISTRICT
Organization’s Mailing Address 711 MARGARET STREET
City SPARTA
State WI
ZIP 54656
Accounting period End 12
Primary contact name VANCE C BICKFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VANCE BICKFORD
PRESIDENT
711 MARGARET STREET
SPARTA WI 54656

Officer/Director/Trustee Two

ALAN HANSON
VICE PRESIDENT
PO BOX 193
HOLMAN WI 54636

Officer/Director/Trustee Three

JULIE DEHART
SECRETARY
36870 HILL VIEW
PRAIRIE DU CHIEN WI 53821

Officer/Director/Trustee Four

BRENDA BRAULT
TREASURER
2854 EASTBROOK DRIVE
LACROSSE WI 54601

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/2011
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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