FORM 1023-EZ for HAYWARD LOGROLLING INC

Field Data
EIN 81-2373230
Case Number EO-2016257-000185
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAYWARD LOGROLLING INC
Organization’s Mailing Address PO BOX 623
City HAYWARD
State WI
ZIP 54843
Accounting period End 12
Primary contact name JEANNE SCHMELZER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN DUFFY
PRESIDENT
10434 FOREST AVE
HAYWARD WI 54843

Officer/Director/Trustee Two

JEANNE SCHMELZER
TREASURER
10851 SECON AVE
HAYWARD WI 54843

Officer/Director/Trustee Three

KEVIN MILLER
V PRESIDENT
10261 N RIDGEROCK CT
HAYWARD WI 54843

Officer/Director/Trustee Four

GINA PENNING
DIRECTOR
9984 N STATE RD 27
HAYWARD WI 54843

Officer/Director/Trustee Five

HEATHER SHEEHAN
SECRETARY
16270 W EASY STREET
HAYWARD WI 54843

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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