FORM 1023-EZ for NORTHWESTERN ROBOTICS INC

Field Data
EIN 47-4316864
Case Number EO-2015196-000197
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHWESTERN ROBOTICS INC
Organization’s Mailing Address PO BOX 159
City LAKE NEBAGAMON
State WI
ZIP 54849
Accounting period End 6
Primary contact name STACY KNAACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEVIN KNAACK
PRESIDENT
11625 E MAIN ST
LAKE NEBAGAMON WI 54849

Officer/Director/Trustee Two

STACY KNAACK
TREASURER
11625 E MAIN ST
LAKE NEBAGAMON WI 54849

Officer/Director/Trustee Three

DEBORAH LUMBERG
SECRETARY
4498 S WESTLINE RD
POPLAR WI 54864

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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
Signature Title
Signature Date

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