FORM 1023-EZ for LAX RIVER RATS RFC INC

Field Data
EIN 87-1121704
Case Number EO-2021242-000519
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAX RIVER RATS RFC INC
Organization’s Mailing Address 122 LONG COULEE RD
City HOLMEN
State WI
ZIP 54636
Accounting period End 12
Primary contact name CLAYTON FITZPATRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL MANNIGEL
PRESIDENT
122 LONG COULEE RD
HOLMEN WI 54636

Officer/Director/Trustee Two

DANIEL HUBER
VICE PRESIDENT
3164 28TH ST S
LA CROSSE WI 54601

Officer/Director/Trustee Three

CLAYTON FITZPATRICK
TREASURER
1591 MEDARY LN
ONALASKA WI 54650

Officer/Director/Trustee Four

ANDREW JONES
MATCH SECRETARY
126 WATERFORD CIRCLE
WINONA MN 55987

Organization’s website
Organization’s email LAXRIVERRATSRFC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2021
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: 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 DANIEL MANNIGEL
Signature Title PRESIDENT
Signature Date 8/27/2021

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