FORM 1023-EZ for CHIPPEWA VALLEY MASTER GARDENER ASSOCIATION

Field Data
EIN 20-4615679
Case Number EO-2014276-000390
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHIPPEWA VALLEY MASTER GARDENER ASSOCIATION
Organization’s Mailing Address 711 N BRIDGE ST ROOM 13
City CHIPPEWA FALLS
State WI
ZIP 54729
Accounting period End 12
Primary contact name JERRY CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARY JO FLEMING
PRESIDENT
18790 54TH AVE
CHIPPEWA FALLS WI 54729

Officer/Director/Trustee Two

SHIRLEY BLIZEK
TREASURER
828 OLIVE ST
CHIPPEWA FALLS WI 54729

Officer/Director/Trustee Three

SANDRA KENNER
SECRETARY
15769 50TH AVE
CHIPPEWA FALLS WI 54729

Organization’s website
Organization’s email JEROME.CLARK@CES.UWEX.EDU
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/1999
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C42 - Garden Club, Horticultural Program
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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