FORM 1023-EZ for OPERATIONAL K9 MEDICAL TEAM OF WISCONSIN

Field Data
EIN 85-2889046
Case Number EO-2020254-000255
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OPERATIONAL K9 MEDICAL TEAM OF WISCONSIN
Organization’s Mailing Address 1606A OREGON STREET
City OSHKOSH
State WI
ZIP 54902-6922
Accounting period End 12
Primary contact name LYN M SCHUH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYN SCHUH
DIRECTOR OF OPERATIONS
1606A OREGON STREET
OSHKOSH WI 54902-6922

Officer/Director/Trustee Two

LISA CONVERSE
MEDICAL DIRECTOR
1606A OREGON STREET
OSHKOSH WI 54902-6922

Officer/Director/Trustee Three

KRIS EGGLESTON
EDUCATIONAL DIRECTOR
1606A OREGON STREET
OSHKOSH WI 54902-6922

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M41 - First Aid Training, 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 No
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 Yes
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 LYN SCHUH
Signature Title DIRECTOR OF OPERATIONS
Signature Date 9/8/2020

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