FORM 1023-EZ for LACONIA WRESTLING CLUB INC

Field Data
EIN 39-1977941
Case Number EO-2017018-000434
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LACONIA WRESTLING CLUB INC
Organization’s Mailing Address N4809 METOVALE RD
City BRANDON
State WI
ZIP 53919-9738
Accounting period End 12
Primary contact name TIMOTHY HALBACH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ABRAHAM LEMMENES
PRESIDENT/DIRECTOR
N4809 METOVALE RD
BRANDON WI 53919-9738

Officer/Director/Trustee Two

DAMIAN LONNEE
VICE PRESIDENT/DIRECTOR
PO BOX 337
BRANDON WI 53919

Officer/Director/Trustee Three

KELLY HAGNER
SECRETARY/DIRECTOR
W8330 HAWKVIEW CREEK
FOND DU LAC WI 54937-8315

Officer/Director/Trustee Four

TOM MICHELS
TREASURER/DIRECTOR
N8523 TOTZ RD
VAN DYNE WI 54979-9414

Officer/Director/Trustee Five

ELI GLEWEN
DIRECTOR
W12575 AMITY ROAD
BRANDON WI 53919-9511

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2000
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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
Signature Title
Signature Date

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