FORM 1023-EZ for LOMIRA GRIDIRON CLUB INC

Field Data
EIN 47-2674385
Case Number EO-2016042-000070
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOMIRA GRIDIRON CLUB INC
Organization’s Mailing Address PO BOX 225
City LOMIRA
State WI
ZIP 53048-9799
Accounting period End 8
Primary contact name BRIAN K WEBER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN WEBER
PRESIDENT
W208 MERIDIAN ROAD
THERESA WI 53091

Officer/Director/Trustee Two

KELSEY JOHNSON
SECRETARY
641 PLEASANT HILL AVE
LOMIRA WI 53048

Officer/Director/Trustee Three

MARIE WONDRA
TREASURER
N11404 EAST LANE
LOMIRA WI 53048-9799

Officer/Director/Trustee Four

TROY WONDER
EVENTS COORDINATOR
N11498 EAST LANE
LOMIRA WI 53048

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/11/2014
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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