FORM 1023-EZ for FIX IT TOGETHER CHIPPEWA VALLEY INC

Field Data
EIN 84-4088829
Case Number EO-2019365-000116
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIX IT TOGETHER CHIPPEWA VALLEY INC
Organization’s Mailing Address 2601 MORNINGSIDE DR
City EAU CLAIRE
State WI
ZIP 54703
Accounting period End 12
Primary contact name ALI HAMBLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALI HAMBLIN
PRESIDENT
1010 MARGARET ST
EAU CLAIRE WI 54701

Officer/Director/Trustee Two

MARY PROZNIK
VICE PRESIDENT
13626 42ND AVE
CHIPPEWA FALLS WI 54729

Officer/Director/Trustee Three

NICOLE PROCK
TREASURER
1910 7TH ST
EAU CLAIRE WI 54703

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/26/2019
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L81 - Home Improvement and Repairs
Organization’s purpose Charitable: Yes
Religious: No
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 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 ALI HAMBLIN
Signature Title PRESIDENT
Signature Date 12/27/2019

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