FORM 1023-EZ for DOUBLE RAFTERS INCORPORATED

Field Data
EIN 83-4081881
Case Number EO-2019186-000207
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOUBLE RAFTERS INCORPORATED
Organization’s Mailing Address W9120 WA KA JA HUK ROAD
City BLACK RIVER FALLS
State WI
ZIP 54615
Accounting period End 9
Primary contact name HATTIE WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HATTIE WALKER
PRESIDENT
W9120 WA KA JA HUK ROAD
BLACK RIVER FALLS WI 54615

Officer/Director/Trustee Two

THOMAS WALKER
TREASURER
PO BOX 757
BLACK RIVER FALLS WI 54615

Officer/Director/Trustee Three

LEAH WALKER
VICE PRESIDENT
W10224 LEVIS CREEK ROAD
BLACK RIVER FALSS WI 54615

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HATTIE WALKER
Signature Title PRESIDENT
Signature Date 7/2/19

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