FORM 1023-EZ for BARK RIVER FISH HATCHERY
| Field | Data |
|---|---|
| EIN | 81-1146439 |
| Case Number | EO-2016021-000608 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | BARK RIVER FISH HATCHERY |
| Organization’s Mailing Address | 374 EAST SAMUELSEN DRIVE |
| City | EDGERTON |
| State | WI |
| ZIP | 53534 |
| Accounting period End | 12 |
| Primary contact name | BRIAN CHRISTIANSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
BRIAN CHRISTIANSON
TREASURER
374 EAST SMEULSEN DRIVE
EDGERTON WI 53534
Officer/Director/Trustee Two
ADAM WALTON
CHAIRMAN
106 BLANCHARD STREET
EDGERTON WI 53534
Officer/Director/Trustee Three
JEFF POMPLUN
VICE CHAIR
1908 NORTH PARKER DRIVE
JANESVILLE WI 53545
Officer/Director/Trustee Four
DON BUSH
SECRETARY
502 EDGERTON ROAD
EDGERTON WI 53534
Officer/Director/Trustee Five
JIM BOWERS
AT LARGE
9244 NORTH ROCK RIVER ROAD
EDGERTON WI 53534
| Organization’s website | NA |
|---|---|
| Organization’s email | BKC@CPGMIDWEST.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/1/2016 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | D33 - Fisheries Resources |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No Scientific: Yes 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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