FORM 1023-EZ for MONTEREY DAM ASSOCIATION

Field Data
EIN 38-4039660
Case Number EO-2017235-000296
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MONTEREY DAM ASSOCIATION
Organization’s Mailing Address 538 SOUTH MAIN STREET
City JANESVILLE
State WI
ZIP 53545
Accounting period End 12
Primary contact name JAMES CHESMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES CHESMORE
CHAIRMAN
538 SOUTH MAIN
JANESVILLE WI 53545

Officer/Director/Trustee Two

MG JAN CHESMORE
SECRETARY
538 SOUTH MAIN
JANESVILLE WI 53545

Officer/Director/Trustee Three

HARRY PAULSON
VICE CHAIRMAN
815 ROCKPORT ROAD
JANESVILLE WI 53548

Officer/Director/Trustee Four

DARLENE BROWN
TREASURER
1239 JEROME AVENUE
JANESVILLE WI 53545

Officer/Director/Trustee Five

SHERYL HENRY
IT SECRETARY
379 WILSON
JANESVILLE WI 53545

Organization’s website HTTP://WWW.MONTEREYDAMASSOCIATION.ORG/
Organization’s email INFO@MONTERYDAMASSOCIATION.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/2017
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C01 - Alliance/Advocacy Organizations
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 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 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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