FORM 1023-EZ for KLIMB EDUCATION INC

Field Data
EIN 82-1270640
Case Number EO-2017118-000228
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KLIMB EDUCATION INC
Organization’s Mailing Address 1119 BOWEN COURT
City MADISON
State WI
ZIP 53715
Accounting period End 12
Primary contact name JAKE ABERNATHY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRADLEY LEVESQUE
DIRECTOR
1119 BOWEN CT
MADISON WI 53715

Officer/Director/Trustee Two

JAKE ABERNATHY
DIRECTOR
221 LANGDON STREET APT 104
MADISON WI 53703

Officer/Director/Trustee Three

TESSA WITKOWSKY
MCAT PROGRAM CHAIR
512 ENGEL BLVD
PARK RIDGE IL 60068

Officer/Director/Trustee Four

ANDREW ROSE
DAT PROGRAM CHAIR
1465 EAST 55TH STREET
BROOKLYN NY 11234

Officer/Director/Trustee Five

HUNTER CAMERON
SHADOWING CONNECTIONS CHAIR
3830 TIMBER CREEK CT
EAU CLAIRE WI 54701

Organization’s website WWW.KLIMBEDUCATION.COM
Organization’s email BLEVESQUE@WISC.EDU
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2017
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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