FORM 1023-EZ for SOUTH ADAMS COUNTY ROAD RUNNERS INC

Field Data
EIN 82-1981273
Case Number EO-2018218-000424
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH ADAMS COUNTY ROAD RUNNERS INC
Organization’s Mailing Address PO BOX 396
City OXFORD
State WI
ZIP 53952-396
Accounting period End 12
Primary contact name ERIC EDWARDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC EDWARDS
PRESIDENT- DIRECTOR
3317 EAST PARKER LAKE RD
OXFORD WI 53952

Officer/Director/Trustee Two

TIM FRANK
VICE PRESIDENT-DIRECTOR
2902 11TH DR
GRAND MARSH WI 53936

Officer/Director/Trustee Three

LISA FRANK
SECRETARY-DIRECTOR
2902 11TH DR
GRAND MARSH WI 53936

Officer/Director/Trustee Four

ONUFRY KARCH
TREASURER-DIRECTOR
278 BEECH ST
OXFORD WI 53952

Officer/Director/Trustee Five

ROBERT SANDBACH
DIRECTOR
3317 EAST PARKER LAKE RD
GRAND MARSH WI 53936

Organization’s website ACATV.CLUB
Organization’s email ERIC@ACATV.CLUB
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/17
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 ERIC EDWARDS
Signature Title PRESIDENT- DIRECTOR
Signature Date 8/2/18

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