| Field | Data |
|---|---|
| EIN | 86-1524445 |
| Case Number | EO-2021117-000047 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BELLEVILLE COMMUNITY HEALTH IMPROVEMENT PROJECT INC |
| Organization’s Mailing Address | PO 405 |
| City | BELLEVILLE |
| State | WI |
| ZIP | 53508 |
| Accounting period End | 12 |
| Primary contact name | NATE PERRY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
MICHELLE FLICK
TREASURER
W2674 STORY CREEK CIRCLE
BELLEVILLE WI 53508
NATHAN PERRY
VICE PRESIDENT
2531 CHEROKEE RD
JANESVILLE WI 53545
KYLE WEBBER
PRESIDENT
6105 PINE CONE WAY
FITCHBURG WI 53719
MARIAN VINEY
SECRETARY
W3739 KAMMES DRIVE
BELLEVILLE WI 53508
LAURA KOLDNE
DIRECTOR
130 E CHURCH STREET
BELLEVILLE WI 53508
| Organization’s website | |
|---|---|
| Organization’s email | BELLEVILLECHIP@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/19/2021 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F11 - Single Organization Support |
| 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 | Yes |
| 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 | NATHAN PERRY |
| Signature Title | VICE PRESIDENT |
| Signature Date | 4/23/2021 |
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