FORM 1023-EZ for GREEN VALLEY SPORTSMANS CLUB INC

Field Data
EIN 83-0567676
Case Number EO-2018141-000054
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREEN VALLEY SPORTSMANS CLUB INC
Organization’s Mailing Address 20315 SUTTER CREEK DRIVE APT 223
City BROOKFIELD
State WI
ZIP 53045
Accounting period End 12
Primary contact name MICHAEL ZADJEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RANDY ZAJDEL
PRESIDENT
4022 WEST OKLAHOMA AVE
MILWAUKEE WI 53215

Officer/Director/Trustee Two

KEITH STRASSER
TREASURER
6328 N RIVERBAY ROAD
WATERFORD WI 53185

Officer/Director/Trustee Three

BILL DINGEL
DIRECTOR
116 SOUTH STREET
EAGLE WI 53119

Officer/Director/Trustee Four

LUKE WALLOCH
DIRECTOR
8413 FOX RIVER ROAD
WATERFORD WI 53185

Officer/Director/Trustee Five

JEFF SCHWARZHUBER
DIRECTOR
316 N MILWAUKEE ST APT 7
WATERFORD WI 53185

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
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 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 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 RANDY ZAJDEL
Signature Title PRESIDENT
Signature Date 5/16/18

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