FORM 1023-EZ for WESTERN WISCONSIN HEALTHCARE EMERGENCY READINESS COALITION INC

Field Data
EIN 86-3709083
Case Number EO-2021148-000200
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTERN WISCONSIN HEALTHCARE EMERGENCY READINESS COALITION INC
Organization’s Mailing Address 2811 MILTON AVENUE NUMBER 389
City JANESVILLE
State WI
ZIP 53545
Accounting period End 12
Primary contact name TOM TORNSTROM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES NEWLUN
EXECUTIVE BOARD CHAIR
114 DONYELL DRIVE
CAMP DOUGLAS WI 54618

Officer/Director/Trustee Two

TOM TORNSTROM
TREASURER
235 CAUSEWAY BOULEVARD
LA CROSSE WI 54603

Officer/Director/Trustee Three

KRISTINA PAGE
DIRECTOR
30 N 3RD STREET
BLACK RIVER FALLS WI 54615

Officer/Director/Trustee Four

TIA MEYER
DIRECTRO
901 14TH STREET NW
ROCHESTER MN 55901

Officer/Director/Trustee Five

TIFFANY GIESLER
DIRECTOR
315 W OAK STREET
SPARTA WI 54619

Organization’s website WWW.WHEPPWESTERNHCC.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 JAMES NEWLUN
Signature Title EXECUTIVE BOARD CHAIR
Signature Date 5/20/2021

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