FORM 1023-EZ for PLAYING AGAIN SAMS OF WISCONSIN INC
| Field | Data |
|---|---|
| EIN | 39-1941096 |
| Case Number | EO-2016294-000279 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PLAYING AGAIN SAMS OF WISCONSIN INC |
| Organization’s Mailing Address | 1206 DEBRA LANE |
| City | MADISON |
| State | WI |
| ZIP | 53704-1417 |
| Accounting period End | 12 |
| Primary contact name | PATRICIA A BAKKEN SECRETARY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MARIA KIRYLO
PRESIDENT TREASURER
13123 W PROSPECT DR
NEW BERLIN WI 53151-1871
Officer/Director/Trustee Two
HEATHER LITTLE
VICE PRESIDENT
5500 SHANNON RD
HARTFORD WI 53027-0378
Officer/Director/Trustee Three
PATRICIA BAKKEN
SECRETARY
1206 DEBRA LANE
MADISON WI 53704-1417
Officer/Director/Trustee Four
REBECCA HEDLUND
BOARD MEMBER
6641 SQUIRE CT
LOVES PARK IL 61111-3521
Officer/Director/Trustee Five
JULIA HENRIQUES
BOARD MEMBER
4113 N KILBOURN AVE
CHICAGO IL 60641-1914
| Organization’s website | WWW.SAMOYED-RESCUE.COM |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/14/1998 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | D20 - Animal Protection and Welfare |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: Yes |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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