FORM 1023-EZ for WAUPACA CHAIN O LAKES ASSOCIATION INC

Field Data
EIN 39-1868289
Case Number EO-2017258-000312
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WAUPACA CHAIN O LAKES ASSOCIATION INC
Organization’s Mailing Address PO BOX 169
City KING
State WI
ZIP 54946
Accounting period End 5
Primary contact name LORRAINE KOEPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARON PETERSON
PRESIDENT DIRECTOR
E1185 PLEASANT PARK LN
WAUPACA WI 54981

Officer/Director/Trustee Two

SUSAN GAASTRA
TREASURER DIRECTOR
N2676 NORRIS LN
WAUPACA WI 54981

Officer/Director/Trustee Three

ROBERT UNDERBERG
VICE PRESIDENT DIRECTOR
E1444 GRANDVIEW RD
WAUPACA WI 54981

Officer/Director/Trustee Four

LORRAINE KOEPER
EXECUTIVE SECRETARY DIRECTOR
N2629 PLEASANT PARK LN
WAUPACA WI 54981

Officer/Director/Trustee Five

JOHN MILLER
DIRECTOR
N2410 LONG COVE DR
WAUPACA WI 54981

Organization’s website WAUPACACHAINOLAKESASSOCIATION.COM
Organization’s email CHAINOLAKESASSOCIATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2005
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C32 - Water Resource, Wetlands Conservation and Management
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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