FORM 1023-EZ for MIDWEST WISCONSIN CORPORATE GUARDIANSHIP INC

Field Data
EIN 45-5218273
Case Number EO-2016144-000079
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIDWEST WISCONSIN CORPORATE GUARDIANSHIP INC
Organization’s Mailing Address W5461 S COUNTY ROAD A
City WILD ROSE
State WI
ZIP 54984
Accounting period End 12
Primary contact name PENELOPE WIEDENBECK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PENELOPE WIEDENBECK
DIRECTOR/PROGRAM MANAGER
W5461 S COUNTY ROAD A
WILD ROSE WI 54984

Officer/Director/Trustee Two

PATRICIA WEILAND
CHIEF OPERATING OFFICER
W6312 ANIWA ROAD
WILD ROSE WI 54984

Officer/Director/Trustee Three

REBECCA HILLMANN
PRESIDENT
E8397 WEILAND ROAD
NEW LONDON WI 54961

Officer/Director/Trustee Four

AUGUSTIN URIBE
VICE-PRESIDENT
509 RUFFALO DRIVE
PLAINFIELD WI 54966

Officer/Director/Trustee Five

TAMMY WILDT
TREASURER
E2198 DAYTON ROAD
WAUPACA WI 54981

Organization’s website
Organization’s email MWCG2012@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/2012
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 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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