FORM 1023-EZ for CAMBRIA CONSERVATION CLUB INC

Field Data
EIN 81-4861997
Case Number EO-2017009-000326
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMBRIA CONSERVATION CLUB INC
Organization’s Mailing Address W1733 CTY HWY G
City RANDOLPH
State WI
ZIP 53956
Accounting period End 12
Primary contact name ANTHONY DEBOER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY DEBOER
PRESIDENT
W2128 FRIESLAND RD
CAMBRIA WI 53923

Officer/Director/Trustee Two

DOUG JUNG
TREASURER
W1733 CTY HWY G
RANDOLPH WI 53956

Officer/Director/Trustee Three

ASHLEY JUNG
SECRETARY
W1733 CTY HWY G
RANDOLPH WI 53956

Officer/Director/Trustee Four

STEVEN PROCHNOW
VICE PRESIDENT
N8281 CTY ROAD H
CAMBRIA WI 53923

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/1950
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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