FORM 1023-EZ for LACONIA LITTLE LEAGUE

Field Data
EIN 26-2915634
Case Number EO-2018340-000220
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LACONIA LITTLE LEAGUE
Organization’s Mailing Address PO BOX 183
City ROSENDALE
State WI
ZIP 54974
Accounting period End 12
Primary contact name HEATH HAGNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATH HAGNER
PRESIDENT
W8330 HAWKVIEW CIRCLE
FOND DU LAC WI 54937

Officer/Director/Trustee Two

MATT PLUIM
VICE PRESIDENT
W10882 SCHMOLDT ROAD
ROSENDALE WI 54974

Officer/Director/Trustee Three

JAIME KLOETZKE
TREASURER
132 S MAIN STREET
ROSENDALE WI 54974

Officer/Director/Trustee Four

JENNY DERKSEN
SECRETARY
303 PLEASANT COURT
ROSENDALE WI 54974

Organization’s website WWW.LACONIALITTLELEAGUE.COM
Organization’s email LACONIALITTLELEAGUE2018@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/08
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 HEATH HAGNER
Signature Title PRESIDENT
Signature Date 12/3/18

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