FORM 1023-EZ for RICE LAKE KNIGHTS HALL INC

Field Data
EIN 81-4736110
Case Number EO-2017032-000053
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RICE LAKE KNIGHTS HALL INC
Organization’s Mailing Address 1121 NUNN AVENUE
City RICE LAKE
State WI
ZIP 54868
Accounting period End 12
Primary contact name RANDI L OSBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALAN BURMESTER
DIRECTOR/PRESIDENT
104 EAST BRACKLIN STREET
RICE LAKE WI 54868

Officer/Director/Trustee Two

JOHN CRAGG
DIRECTOR/VICE PRESIDENT
2203 20-1/2 STREET
RICE LAKE WI 54868

Officer/Director/Trustee Three

LARRY SINCLAIR
DIRECTOR/SECRETARY
1962 16TH STREET
RICE LAKE WI 54868

Officer/Director/Trustee Four

JEFF PIERCE
DIRECTOR/TREASURER
1956 21-7/8 STREET
RICE LAKE WI 54868

Officer/Director/Trustee Five

GARY SCHIEFFER
DIRECTOR
2626 20 1/2 STREET
RICE LAKE WI 54868

Organization’s website NO
Organization’s email ROSBERG@RUDERWARE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X22 - Roman Catholic
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: No
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 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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