FORM 1023-EZ for COULEE REGION SLED HOCKEY INC

Field Data
EIN 81-2647571
Case Number EO-2019084-000697
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COULEE REGION SLED HOCKEY INC
Organization’s Mailing Address 422 SOUTH 14TH STREET
City LA CROSSE
State WI
ZIP 54601
Accounting period End 6
Primary contact name VIRGINIA WINTERSTEEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VIRGINIA WINTERSTEEN
PRESIDENT
422 14TH STREET SOUTH
LA CROSSE WI 54601-4822

Officer/Director/Trustee Two

SUSAN HALTER
VICE PRESIDENT
2610 CASS STREET
LA CROSSE WI 54601-4314

Officer/Director/Trustee Three

PATRICIA ARDOVINO
SECRETARY
3426 EAST AVE SOUTH
LA CROSSE WI 54601-7209

Officer/Director/Trustee Four

CYNTHIA HOOD
TREASURER
2905 BAYSHORE DRIVE NORTH
LACROSSE WI 54601-1054

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/16
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name VIRGINIA WINTERSTEEN
Signature Title PRESIDENT
Signature Date 3/23/19
EIN 81-2647571
Case Number EO-2016252-000254
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COULEE REGIONSLED HOCKEY INC
Organization’s Mailing Address 422 SOUTH 14TH STREET
City LA CROSSE
State WI
ZIP 54601
Accounting period End 6
Primary contact name VIRGINIA WINTERSTEEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VIRGINIA WINTERSTEEN
PRESIDENT
422 SOUTH 14TH STREET
LA CROSSE WI 54601

Officer/Director/Trustee Two

SHANNON UTESCH
TREASURER
25460 COUNTY HWY ET
TOMAH WI 54660

Officer/Director/Trustee Three

JOHN BARTECK
VICE PRESIDENT
1816 22ND STREET SOUTH
LA CROSSE WI 54601

Officer/Director/Trustee Four

ANGIE PETERSON
SECRETARY
1706 WOOD STREET
LA CROSSE WI 54603

Officer/Director/Trustee Five

JAMES CAPPUCCIO
BOARD MEMBER
3501 CROWN BLVD
LA CROSSE WI 54601

Organization’s website WWW.COULEEREGIONSLEDHOCKEY.COM
Organization’s email CRSLEDHOCKEY@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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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