FORM 1023-EZ for WASHBURN COUNTY K9 FOUNDATION INC

Field Data
EIN 87-1754308
Case Number EO-2021270-000275
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WASHBURN COUNTY K9 FOUNDATION INC
Organization’s Mailing Address PO BOX 429
City SHELL LAKE
State WI
ZIP 54871
Accounting period End 12
Primary contact name HEIDI CHRISTMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEIDI CHRISTMAN
PRESIDENT
421 HIGHWAY 63
SHELL LAKE WI 54871

Officer/Director/Trustee Two

ANGELA PANK
VICE PRESIDENT
421 HIGHWAY 63
SHELL LAKE WI 54871

Officer/Director/Trustee Three

ADELINE PAFFEL
SECRETARY TREASURER
421 HIGHWAY 63
SHELL LAKE WI 54871

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/2021
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I12 - Fund Raising and/or Fund Distribution
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 Yes
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 HEIDI CHRISTMAN
Signature Title PRESIDENT
Signature Date 9/23/2021

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