FORM 1023-EZ for MT LA CROSSE SKI PATROL FOUNDATION

Field Data
EIN 84-2424415
Case Number EO-2019280-000459
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MT LA CROSSE SKI PATROL FOUNDATION
Organization’s Mailing Address 3009 BIRCH DR
City LA CROSSE
State WI
ZIP 54601
Accounting period End 4
Primary contact name KIM EVENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENT JOHNSTON
PRESIDENT
3009 BIRCH DR
LA CROSSE WI 54601

Officer/Director/Trustee Two

WARD EVENSON
SECRETARY
2526 13TH PLACE SOUTH
LA CROSSE WI 54601

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WARD EVENSON
Signature Title SECRETARY
Signature Date 10/5/19

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