FORM 1023-EZ for LODI WRESTLING CLUB LTD

Field Data
EIN 82-4186692
Case Number EO-2018071-000107
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LODI WRESTLING CLUB LTD
Organization’s Mailing Address W11567 REYNOLDS ROAD
City LODI
State WI
ZIP 53555
Accounting period End 12
Primary contact name GEOFF LORENZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARILYN ZIEGLER
PRESIDENT
W11567 REYNOLDS ROAD
LODI WI 53555

Officer/Director/Trustee Two

MIKE BUSSER
VICE PRESIDENT
620 MEADOWVIEW LANE
LODI WI 53555

Officer/Director/Trustee Three

STEVE DIBBLE
SECRETARY/TREASURER
1301 TIERNEY DRIVE
WAUNAKEE WI 53597

Officer/Director/Trustee Four

RYAN KUTZ
BOARD MEMBER
707 ELLIE RAE DRIVE
LODI WI 53555

Officer/Director/Trustee Five

TODD KEARNEY
BOARD MEMBER
615 CORNER STREET
LODI WI 53555

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 MARILYN ZIEGLER
Signature Title PRESIDENT
Signature Date 3/8/18

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