FORM 1023-EZ for MIDWEST ZONAL FORUM

Field Data
EIN 83-3162418
Case Number EO-2019039-000839
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIDWEST ZONAL FORUM
Organization’s Mailing Address 1724 N HUME AVE
City MARSHFIELD
State WI
ZIP 54449
Accounting period End 12
Primary contact name TAMMY SCHUELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICK CATALDO
CHAIR
9621 ELM ST
TAYLOR MI 48180

Officer/Director/Trustee Two

BLYNN MORIIS
CHAIR
5460 LOW GAP ROAD
MARTINSVILLE IN 46151

Officer/Director/Trustee Three

DAVE LEWIS
TREASURER
3231 BISHOP STREET
CINCINNATI OH 45220

Officer/Director/Trustee Four

PATRICIA KANIPE
SECRETARY
2104 LAKEWAY AVE
KALAMAZOO MI 49001

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/97
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R11 - Single Organization Support
Organization’s purpose Charitable: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RICK CATALDO
Signature Title CHAIR
Signature Date 2/5/19

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