FORM 1023-EZ for NAMI NORTHWOODS INC

Field Data
EIN 35-2425427
Case Number EO-2015301-000341
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NAMI NORTHWOODS INC
Organization’s Mailing Address 2290 RICKIE DR
City MOSINEE
State WI
ZIP 54455-8848
Accounting period End 12
Primary contact name JILL WOLLENZIEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BERNIE CORSTEN
CO-PRESIDENT
806 N 29TH AVENUE
WAUSAU WI 54401

Officer/Director/Trustee Two

TERRY RYAN
CO-PRESIDENT-SECRETARY
5512 ARBOR COURT
WAUSAU WI 54401

Officer/Director/Trustee Three

JILL WOLLENZIEN
VICE PRESIDENT
2290 RICKIE DR
MOSINEE WI 54455-4484

Officer/Director/Trustee Four

DIANE KLINGER
TREASURER
1305 ROBERTS RD
MOSINEE WI 54455

Organization’s website WWW.NAMINNORTHWOODS.WIX.COM/HOME
Organization’s email NAMI.NORTHWOODS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2011
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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