FORM 1023-EZ for WISCONSIN COALITION FOR INFORMED VACCINATION
| Field | Data |
|---|---|
| EIN | 82-0660479 |
| Case Number | EO-2019091-000507 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | WISCONSIN COALITION FOR INFORMED VACCINATION |
| Organization’s Mailing Address | 4232 JANICK CIRCLE NORTH |
| City | STEVENS POINT |
| State | WI |
| ZIP | 54881-2511 |
| Accounting period End | 12 |
| Primary contact name | AMY JO ROGERS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
AMY JO ROGERS
CEO
4232 JANICK CIRCLE NORTH
STEVENS POINT WI 54881-2511
Officer/Director/Trustee Two
TARA CZACHOR
SECRETARY
1584 PARK HAVEN ROAD
DE PERE WI 54115-7667
Officer/Director/Trustee Three
COURTNEY DAYNE
TREASURER
1585 GREENWAY CROSS
MADISON WI 53713-3189
| Organization’s website | HTTP://WCIVWISCONSIN.ORG/ |
|---|---|
| Organization’s email | WCIVWISCONSIN@OUTLOOK.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/2/17 |
| 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: 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 | No |
| Correctness Declaration | Yes |
| Signature Name | TARA CZACHOR |
| Signature Title | SECRETARY |
| Signature Date | 3/29/19 |
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