FORM 1023-EZ for DOWN SYNDROME ASSOCIATION OF WISCONSIN - SHEBOYGAN INC
| Field | Data |
|---|---|
| EIN | 45-3178133 |
| Case Number | EO-2014262-000219 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | DOWN SYNDROME ASSOCIATION OF WISCONSIN - SHEBOYGAN INC |
| Organization’s Mailing Address | 3211 S LAKE DRIVE SUITE 113 |
| City | ST FRANCIS |
| State | WI |
| ZIP | 53235 |
| Accounting period End | 12 |
| Primary contact name | RON MALLOY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
TOM ODAY
BOARD PRESIDENT
1 E MAIN SUITE 500
MADISON WI 53703
Officer/Director/Trustee Two
MIKE KNOEBEL
BOARD VICE PRESIDENT
12301 WEST WIRTH STREET
MILWAUKEE WI 53222
Officer/Director/Trustee Three
KERRY LAURIN
BOARD SECRETARY
789 N WATER ST
MILWAUKEE WI 53202
Officer/Director/Trustee Four
ANDREA ZAHN
BOARD TREASURER
1927 LAURA LANE
WAUKESHA WI 53186
Officer/Director/Trustee Five
MIKE BARE
VOTING MEMBER AT LARGE
1363 DIANE AVENUE
BELLEVILLE WI 53508
| Organization’s website | WWW.DSAW-GBC.ORG |
|---|---|
| Organization’s email | TODAY@GKLAW.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/3/2011 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | W99 - Public, Society Benefit - Multipurpose and Other N.E.C. |
| 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 | Yes |
| Compensation of Officer director trustee | No |
| Donation of funds | Yes |
| 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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