FORM 1023-EZ for MENOMINEE COUNTY PHEASANT CLUB

Field Data
EIN 10-0767399
Case Number EO-2018158-000310
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENOMINEE COUNTY PHEASANT CLUB
Organization’s Mailing Address PO BOX 25
City STEPHENSON
State MI
ZIP 49887
Accounting period End 12
Primary contact name KEN MARKLEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM MARKLEIN
PRESIDENT
N4293 RANGELINE ROAD
MENOMINEE MI 49858

Officer/Director/Trustee Two

JOE WAGNER
VICE PRESIDENT
W5424 ROAD 338
WALLACE MI 49893

Officer/Director/Trustee Three

KENNETH MARKLEIN
TREASURER
N7535 P1 ROAD
INGALLS MI 49848

Officer/Director/Trustee Four

JEFF HAULOTTE
SECRETARY
N4899 RANGELINE DR
WALLACE MI 49893

Officer/Director/Trustee Five

LYLE GEARHART
TRUSTEE
W4395 GUSTAFSON RD
CARNEY MI 49812

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/04
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting 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 Yes
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 KENNETH MARKLEIN
Signature Title TREASURER
Signature Date 6/5/18

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