FORM 1023-EZ for UPPER MIDWEST GUARDIANSHIP INC

Field Data
EIN 87-1716413
Case Number EO-2021230-000083
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UPPER MIDWEST GUARDIANSHIP INC
Organization’s Mailing Address 7186 ICEHOUSE AVE
City SPARTA
State WI
ZIP 54656
Accounting period End 12
Primary contact name DONNA K BOLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNA BOLAND
PRESIDENT
7186 ICEHOUSE AVE
SPARTA WI 54656

Officer/Director/Trustee Two

CASSANDRA ERICKSON
VICE PRESIDENT
1005 N FAIRWAY DR
SPARTA WI 54656

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents No
Organization Incorporation Date 7/16/2021
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower No
Contains dissolution No
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
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 Yes
Legislation influence No
Compensation of Officer director trustee Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration No
Signature Name DONNA BOLAND
Signature Title PRESIDENT
Signature Date 8/16/2021

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