FORM 1023-EZ for JEFFERSON COUNTY VETERANS FOUNDATION INC

Field Data
EIN 84-2513565
Case Number EO-2019224-000479
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JEFFERSON COUNTY VETERANS FOUNDATION INC
Organization’s Mailing Address 311 SOUTH CENTER AVENUE
City JEFFERSON
State WI
ZIP 53549
Accounting period End 12
Primary contact name YVONNE DUESTERHOEFT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES SEIDL
CHAIR - PRESIDENT
W9198 BLUE SPRUCE LANE
CAMBRIDGE WI 53523

Officer/Director/Trustee Two

JOSEPH NAYLOR
VICE CHAIR - VICE PRESIDENT
125 PINNACLE DRIVE
LAKE MILLS WI 53551

Officer/Director/Trustee Three

TIMOTHY ANHALT
SECRETARY TREASURER
N6437 ANN STREET
LAKE MILLS WI 53551

Officer/Director/Trustee Four

YVONNE DUESTERHOEFT
DIRECTOR
311 SOUTH CENTER AVENUE
JEFFERSON WI 53549

Organization’s website
Organization’s email YVONNED@JEFFERSONCOUNTYWI.GOV
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
Compensation of Officer director trustee No
Donation of funds Yes
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 Yes
Signature Name YVONNE DUESTERHOEFT
Signature Title DIRECTOR
Signature Date 8/9/19

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