FORM 1023-EZ for NEKOOSA LIONS CLUB CHARITABLE FOUNDATION

Field Data
EIN 82-1093531
Case Number EO-2020318-000210
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEKOOSA LIONS CLUB CHARITABLE FOUNDATION
Organization’s Mailing Address 9239 CAMILLA CT
City NEKOOSA
State WI
ZIP 54457
Accounting period End 12
Primary contact name DANIEL SCHMIDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAL LANZEL
PRESIDENT
430 13TH DRIVE
NEKOOSA WI 54457

Officer/Director/Trustee Two

TERRY WHITMORE
SECRETARY
1016 W 3D STREET
NEKOOSA WI 54457

Officer/Director/Trustee Three

DANIEL SCHMIDT
TREASURER
9239 CAMILLA CT
NEKOOSA WI 54457

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2017
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - Fund Raising and/or Fund Distribution
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DANIEL SCHMIDT
Signature Title TREASURER
Signature Date 11/10/2020
EIN 82-1093531
Case Number EO-2017131-000374
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEKOOSA LIONS CLUB CHARITABLE FOUNDATION INC
Organization’s Mailing Address 9239 CAMILLA CT
City NEKOOSA
State WI
ZIP 54457-7457
Accounting period End 12
Primary contact name DAN SCHMIDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAL LANZEL
PRESIDENT
430 13TH DRIVE
NEKOOSA WI 54557

Officer/Director/Trustee Two

TERRY WHITMORE
SECRETARY
1016 W 3RD STREET
NEKOOSA WI 54457

Officer/Director/Trustee Three

DAN SCHMIDT
TREASURER
9239 CAMILLA CT
NEKOOSA WI 54457

Officer/Director/Trustee Four

LEANE PEARSON
DIRECTOR
1175 BLUE IRIS CT
WISCONSIN RAPIDS WI 54494

Officer/Director/Trustee Five

HERB CARLSON
DIRECTOR
N16436 26TH AVE N
NEKOOSA WI 54457

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/2017
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 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
Signature Title
Signature Date

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