FORM 1023-EZ for COULEE REGION HUNGER WALK INC

Field Data
EIN 83-4373097
Case Number EO-2019105-000302
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COULEE REGION HUNGER WALK INC
Organization’s Mailing Address 549 FAIRWAY CREEK DR
City ONALASKA
State WI
ZIP 54650
Accounting period End 12
Primary contact name BRANDON PRINSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON LIPPERT
DIRECTOR
1718 KANE ST
LA CROSSE WI 54603

Officer/Director/Trustee Two

JERRY BERNS
DIRECTOR
695 MALINDA LN
LA CRESCENT MN 55947

Officer/Director/Trustee Three

KATHY STORLIE
DIRECTOR
444 21ST ST S
LA CROSSE WI 54601

Officer/Director/Trustee Four

KATHY HAGESETH
DIRECTOR
W5728 THISTLEDOWN DR
LA CROSSE WI 54601

Officer/Director/Trustee Five

HARVEY WITZENBURG
DIRECTOR
549 FAIRWAY CREEK DR
ONALASKA WI 54650

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HARVEY WITZENBURG
Signature Title DIRECTOR
Signature Date 4/11/19

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