FORM 1023-EZ for KICKAPOO VALLEY FOREST SCHOOL GOVERNANCE COUNCIL LTD

Field Data
EIN 84-4738081
Case Number EO-2021019-000125
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KICKAPOO VALLEY FOREST SCHOOL GOVERNANCE COUNCIL LTD
Organization’s Mailing Address S3661 STATE HIGHWAY 131
City LA FARGE
State WI
ZIP 54639
Accounting period End 6
Primary contact name JESSICA HARRISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWNA NELSON
PRESIDENT AND DIRECTOR
S3661 ST HWY 131
LA FARGE WI 54639

Officer/Director/Trustee Two

JULIE HOEL
VICE PRESIDENT AND DIRECTOR
S3661 ST HWY 131
LA FARGE WI 54639

Officer/Director/Trustee Three

JACKIE YOCUM
SECRETARY AND DIRECTOR
S3661 ST HWY 131
LA FARGE WI 54639

Officer/Director/Trustee Four

WINSTON OSTROW
TREASURER AND DIRECTOR
S3661 ST HWY 131
LA FARGE WI 54639

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/17/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHAWNA NELSON
Signature Title PRESIDENT AND DIRECTOR
Signature Date 11/20/2020

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