FORM 1023-EZ for WORKPLACE CHAPLAINCY FOUNDATION INC
| Field | Data |
|---|---|
| EIN | 47-5390011 |
| Case Number | EO-2019297-000508 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | WORKPLACE CHAPLAINCY FOUNDATION INC |
| Organization’s Mailing Address | 7228 ELMWOOD AVE |
| City | MIDDLETON |
| State | WI |
| ZIP | 53562-3218 |
| Accounting period End | 12 |
| Primary contact name | STEVE COOK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
STEVE COOK
PRESIDENT/OFFICER
7228 ELMWOOD AVE
MIDDLETON WI 53562-3218
Officer/Director/Trustee Two
HARLEY SKJERVEM
VICE PRESIDENT/OFFICER
5 HARWOOD CIRCLE
MADISON WI 53717-1315
Officer/Director/Trustee Three
ANNETTE KONICEK
SECRETARY/OFFICER
701 HIDDEN CAVE RD
MADISON WI 53717
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/6/15 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | STEVE COOK |
| Signature Title | PRESIDENT/OFFICER |
| Signature Date | 10/22/19 |
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