FORM 1023-EZ for CHANGE A PERSONS WORLD
| Field | Data |
|---|---|
| EIN | 82-3696473 |
| Case Number | EO-2018012-000333 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CHANGE A PERSONS WORLD |
| Organization’s Mailing Address | 120 LILJA AVE |
| City | SHELL LAKE |
| State | WI |
| ZIP | 54871 |
| Accounting period End | 12 |
| Primary contact name | SUSAN M DODD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KENT WABROWETZ
PRES.
N3598 CTY HWY O
SHELL LAKE WI 54871
Officer/Director/Trustee Two
MARY HARRINGTON
VP
115 BAYVIEW DR
SHELL LAKE WI 54871
Officer/Director/Trustee Three
SHARON BAKER
SEC.
W5943 CTY HWY B
SARONA WI 54870
Officer/Director/Trustee Four
RUDY KESSLER JR
TREASURES.
24032 POQUETTE LAKE RD
SHELL LAKE WI 54871
Officer/Director/Trustee Five
SUSAN DODD
BOARD MEMBER
120 LILJA AVE
SHELL LAKE WI 54871
| Organization’s website | NA |
|---|---|
| Organization’s email | KESSFARM@CENTURYTEL.NET |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/13/17 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E32 - Ambulatory Health Center, Community Clinic |
| 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 | Yes |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | Yes |
| Disaster relief assistance | Yes |
| One Third Support Public | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | RUDY KESSLER JR |
| Signature Title | TREASURES. |
| Signature Date | 1/10/18 |
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