FORM 1023-EZ for FRIENDS OF BLACK EARTH PUBLIC LIBRARY

Field Data
EIN 20-4493799
Case Number EO-2020212-000566
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF BLACK EARTH PUBLIC LIBRARY
Organization’s Mailing Address PO BOX 416
City BLACK EARTH
State WI
ZIP 53515
Accounting period End 12
Primary contact name LISA LUTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA LUTZ
TREASURER
PO BOX 416
BLACK EARTH WI 53515

Officer/Director/Trustee Two

PAT MOMMAERTS
PRESIDENT
PO BOX 416
BLACK EARTH WI 53515

Officer/Director/Trustee Three

MARY MYRON
SECRETARY
PO BOX 416
BLACK EARTH WI 53515

Officer/Director/Trustee Four

GARY OLSON
VICE PRESIDENT
PO BOX 416
BLACK EARTH WI 53515

Organization’s website HTTP://WWW.BEPUBLICLIBRARY.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/2005
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B70 - Libraries
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 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 No
Correctness Declaration Yes
Signature Name LISA LUTZ
Signature Title TREASURER
Signature Date 7/28/2020

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