FORM 1023-EZ for FOX VALLEY CAMERA CLUB

Field Data
EIN 39-1341181
Case Number EO-2017236-000255
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOX VALLEY CAMERA CLUB
Organization’s Mailing Address 445 FRANCES ST
City MENASHA
State WI
ZIP 54952
Accounting period End 12
Primary contact name GERALD CLISH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GERALD CLISH
PRESIDENT
445 FRANCES ST
MENASHA WI 54952-1309

Officer/Director/Trustee Two

BONNIE ZUIDEMA
VICE PRESIDIDENT
3869 SCOTCHMAN CIR
GREEN BAY WI 54311-9146

Officer/Director/Trustee Three

TIM GUSTIN
SECRETARY
99 FOSTER CT
APPLETON WI 54915-1501

Officer/Director/Trustee Four

BONNIE ZUIDEMA
TREASURER
3869 SCOTCHMAN CIR
GREEN BAY WI 54311-9146

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/1962
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A40 - Visual Arts Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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