FORM 1023-EZ for STOUGHTON FAIRWAY CLUB INCORPORATED

Field Data
EIN 26-2001132
Case Number EO-2015030-000579
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STOUGHTON FAIRWAY CLUB INCORPORATED
Organization’s Mailing Address 2364 JACKSON STREET NUMBER 236
City STOUGHTON
State WI
ZIP 53589
Accounting period End 12
Primary contact name TROY WIESER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOR ANDERSON
PRESIDENT
1520 VERNON STREET
STOUGHTON WI 53589

Officer/Director/Trustee Two

SCOTT BELLEFEUILLE
VICE PRESIDENT
701 LARVIK LANE
STOUGHTON WI 53589

Officer/Director/Trustee Three

STACY STOLEN
TREASURER/SECRETARY
3046 LINNERUD DR
STOUGHTON WI 53589

Officer/Director/Trustee Four

DOUG HOBSON
DIRECTOR
1300 E SOUTH ST
STOUGHTON WI 53589

Officer/Director/Trustee Five

JILL OTT
DIRECTOR
1854 SHERYL LANE
STOUGHTON WI 53589

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/2008
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N6A - Golf
Organization’s purpose Charitable: Yes
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 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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