FORM 1023-EZ for PARAMEDIC SYSTEMS OF WISCONSIN INC

Field Data
EIN 39-1758677
Case Number EO-2019277-000427
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PARAMEDIC SYSTEMS OF WISCONSIN INC
Organization’s Mailing Address 6145 BLACK WALNUT WAY
City SOBIESKI
State WI
ZIP 54171
Accounting period End 12
Primary contact name DANIEL C GATZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL GATZ
PRESIDENT TREASURER DIRECTOR
6145 BLACK WALNUT WAY
SOBIESKI WI 54171

Officer/Director/Trustee Two

KATIE STUCZYNSKI
VICE PRESIDENT AND DIRECTOR
2983 CHRYSTELLA DRIVE
MENASHA WI 54952

Officer/Director/Trustee Three

MIKE TEDESCHI
SECRETARY AND DIRECTOR
1620 HURON ROAD APT 8
GREEN BAY WI 54311

Organization’s website WWW.PSOW.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/93
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J19 - Nonmonetary Support N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name DANIEL GATZ
Signature Title PRESIDENT, TREASURER AND DIRECTOR
Signature Date 9/30/19

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