FORM 1023-EZ for WEST WILLSON PATENTS ASSOCIATION INC

Field Data
EIN 39-1620316
Case Number EO-2015117-000308
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WEST WILLSON PATENTS ASSOCIATION INC
Organization’s Mailing Address 1811 ALGONQUIN DR
City BARABOO
State WI
ZIP 53913
Accounting period End 12
Primary contact name CAROL HARTMANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LISA STOUT
PRESIDENT
1811 ALGONQUIN DR
BARABOO WI 53913

Officer/Director/Trustee Two

HOLLY HENDERSON
VICE PRESIDENT
1811 ALGONQUIN DR
BARABOO WI 53913

Officer/Director/Trustee Three

CLAIRE SANTAUE
SECRETARY
1811 ALGONQUIN DR
BARABOO WI 53913

Officer/Director/Trustee Four

CAROL HARTMANN
TREASURER
1811 ALGONQUIN DR
BARABOO WI 53913

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/1988
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 Yes
One Third Support Gifts No
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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