FORM 1023-EZ for WISCONSIN ALUMNI ASSOCIATION LAKELAND BADGER CHAPTER

Field Data
EIN 45-2507334
Case Number EO-2016264-000056
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WISCONSIN ALUMNI ASSOCIATION LAKELAND BADGER CHAPTER
Organization’s Mailing Address PO BOX 502
City MINOCQUA
State WI
ZIP 54548
Accounting period End 12
Primary contact name HENRY ROESSEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HENRY ROESSEL
PRESIDENT
PO BOX 9
HAZELHURST WI 54531

Officer/Director/Trustee Two

GARY SIMMONS
VICE PRESIDENT
PO BOX 2323
WOODRUFF WI 54568

Officer/Director/Trustee Three

JOSEPH MASTALSKI
DIRECTOR
7127 SCALBOM DR
HAZELHURST WI 54531

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
Organization’s purpose Charitable: Yes
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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