FORM 1023-EZ for WISCONSIN UNDERWATER ARCHEOLOGICALASSOCIATION

Field Data
EIN 39-1785713
Case Number EO-2018253-000334
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WISCONSIN UNDERWATER ARCHEOLOGICALASSOCIATION
Organization’s Mailing Address PO BOX 921
City NEENAH
State WI
ZIP 54957-732
Accounting period End 12
Primary contact name KEVIN M CULLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN CULLEN
PRESIDENT
2517 FINGER RD
GREEN BAY WI 54302

Officer/Director/Trustee Two

CAITLIN ZANT
VICE PRESIDENT
641 W MAIN ST APT 304
MADISON WI 53703

Officer/Director/Trustee Three

RUSSEL LEITZ
TREASURER
N690 JENSEN RD
WAUPACA WI 54981

Officer/Director/Trustee Four

GRETCHEN DOMINOWSKI
SECRETARY
702 SHERRY ST
NEENAH WI 54957

Officer/Director/Trustee Five

ROBERT LIJEWSKI
DIRECTOR
W156 S7350 QUIETWOOD DR
MUSKEGO WI 53150

Organization’s website WWW.WUAA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/90
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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 KEVIN CULLEN
Signature Title PRESIDENT
Signature Date 9/7/18
EIN 39-1785713
Case Number EO-2018253-000334
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WISCONSIN UNDERWATER ARCHEOLOGICAL ASSOCIATION
Organization’s Mailing Address PO BOX 921
City NEENAH
State WI
ZIP 54957-732
Accounting period End 12
Primary contact name KEVIN M CULLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN CULLEN
PRESIDENT
2517 FINGER RD
GREEN BAY WI 54302

Officer/Director/Trustee Two

CAITLIN ZANT
VICE PRESIDENT
641 W MAIN ST APT 304
MADISON WI 53703

Officer/Director/Trustee Three

RUSSEL LEITZ
TREASURER
N690 JENSEN RD
WAUPACA WI 54981

Officer/Director/Trustee Four

GRETCHEN DOMINOWSKI
SECRETARY
702 SHERRY ST
NEENAH WI 54957

Officer/Director/Trustee Five

ROBERT LIJEWSKI
DIRECTOR
W156 S7350 QUIETWOOD DR
MUSKEGO WI 53150

Organization’s website WWW.WUAA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/90
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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 KEVIN CULLEN
Signature Title PRESIDENT
Signature Date 9/7/18

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