FORM 1023-EZ for JOHNATHON DANIEL LUOMA FOUNDATION

Field Data
EIN 81-3213274
Case Number EO-2017121-000192
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JOHNATHON DANIEL LUOMA FOUNDATION
Organization’s Mailing Address 214 2ND STREET
City BROKAW
State WI
ZIP 54417
Accounting period End 12
Primary contact name DAN LUOMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAN LUOMA
PRESIDENT
T6790 NORTH TROY STREET
WAUSAU WI 54403

Officer/Director/Trustee Two

LESLIE LUOMA
VICE PRESIDENT
T6790 NORTH TROY STREET
WAUSAU WI 54403

Officer/Director/Trustee Three

HAILEY BALK
SECRETARY
2708 PARK RIDGE DRIVE
WESTON WI 54476

Officer/Director/Trustee Four

LISA JUSULA
CO-TREASURER
8125 WEST WALL STREET
SAXON WI 54559

Officer/Director/Trustee Five

LINDA PAJULA
CO-TREASURER
116 OHIO AVE
MONTREAL WI 54550

Organization’s website JDLFOUNDATION.COM
Organization’s email INFO@JDLFOUNDATION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - 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 No
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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