FORM 1023-EZ for ELKHART LAKE IMPROVEMENT ASSOCIATION INCORPORATED

Field Data
EIN 61-1774646
Case Number EO-2015338-000107
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELKHART LAKE IMPROVEMENT ASSOCIATION INCORPORATED
Organization’s Mailing Address 602 AUTUMN DRIVE
City ELKHART LAKE
State WI
ZIP 53020
Accounting period End 12
Primary contact name ROBERT T MELZER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN SCHOTT
PRESIDENT
PO BOX 566
ELKHART LAKE WI 53020-1832

Officer/Director/Trustee Two

O HENRY JUNG
TREASURER
1330 N 5TH STREET
SHEBOYGAN WI 53081-3546

Officer/Director/Trustee Three

JACOB GEREND
VICE PRESIDENT
705 OAK TREE ROAD
SHEBOYGAN WI 53083-3044

Officer/Director/Trustee Four

JOHN FETHERSTON
SECRETARY
949 W SHAKER CIRCLE
MEQUON WI 53092-6031

Officer/Director/Trustee Five

CHRISTOPHER CHESEBRO
DIRECTOR
1734 N 6TH STREET
SHEBOYGAN WI 53081-2705

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/1968
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C99 - Environmental Quality, Protection, and Beautification N.E.C.
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 Yes
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 Yes
One Third Support Gifts No
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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