FORM 1023-EZ for CARLTON FIREFIGHTERS INC

Field Data
EIN 87-1689889
Case Number EO-2021200-000275
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARLTON FIREFIGHTERS INC
Organization’s Mailing Address N1296 TOWN HALL ROAD
City KEWAUNEE
State WI
ZIP 54216
Accounting period End 12
Primary contact name ATTORNEY SUSAN M LACROSSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWARD AUGUSTIAN
PRESIDENT
E4267 COUNTY ROAD G
KEWAUNEE WI 54216

Officer/Director/Trustee Two

S MICHAEL LACROSSE
SECRETRY AND TREASURER
E2767 NUCLEAR ROAD
KEWAUNEE WI 54216

Officer/Director/Trustee Three

BRIAN REPITZ
DIRECTOR
N1897 HIGHWAY 42
KEWAUNEE WI 54216

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2021
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M24 - Fire Prevention, Protection, Control
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 EDWARD AUGUSTIAN
Signature Title PRESIDENT
Signature Date 7/15/2021

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