FORM 1023-EZ for BAR BUDDIES LODI CORPORATION

Field Data
EIN 81-3841715
Case Number EO-2017011-000270
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BAR BUDDIES LODI CORPORATION
Organization’s Mailing Address N2304 PLEASANT VIEW DRIVE
City LODI
State WI
ZIP 53555-9721
Accounting period End 12
Primary contact name GEOFFREY J LORENZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRYAN SMITH
PRESIDENT
W11309 COUNTY HWY V
LODI WI 53555-9628

Officer/Director/Trustee Two

BERT WEST
VICE PRESIDENT
W11243 RED CEDAR DRIVE
LODI WI 53555-9631

Officer/Director/Trustee Three

SHERI HICKS
SECRETARY
N2544 SMITH ROAD
LODI WI 53555-9418

Officer/Director/Trustee Four

KATIE LARRABEE-LANE
TREASURER
6677 VIADUCT ROAD
DANE WI 53529-9707

Officer/Director/Trustee Five

MISSY LARRABEE
DIRECTOR/PROGRAM COORDINATOR
N2304 PLEASANT VIEW DRIVE
LODI WI 53555-9721

Organization’s website N/A
Organization’s email BARBUDDIESLODI@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 Yes
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 Yes
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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