| Field | Data |
|---|---|
| EIN | 47-1951823 |
| Case Number | EO-2014318-000152 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | HEARTSAFE WISCONSIN INC |
| Organization’s Mailing Address | N61 W6058 COLUMBIA ROAD |
| City | CEDARBURG |
| State | WI |
| ZIP | 53012 |
| Accounting period End | 12 |
| Primary contact name | MICHAEL R HAAS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
MICHAEL LAROSA
PRESIDENT
4537 COLUMBIA ROAD
CEDARBURG WI 53012
RYAN OLSEN
TREASURER
1417 EMERALD COURT
CEDARBURG WI 53012
JEFFREY SCHOEN
VICE PRESIDENT
518 BOXELDER LANE
GRAFTON WI 53024
SARA HAAS
SECRETARY
W64N355 MADISON AVENUE
CEDARBURG WI 53012
DONALD LEVY
DIRECTOR
1115 ELM ROAD
CEDARBURG WI 53012
| Organization’s website | WWW.HEARTSAFEWISCONSIN.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/25/2014 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E01 - Alliance/Advocacy Organizations |
| 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 | |
| Signature Title | |
| Signature Date |
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