FORM 1023-EZ for WISCONSIN COMPREHENSIVE ADVANCED LIFE SUPPORT UA
| Field | Data |
|---|---|
| EIN | 47-4334432 |
| Case Number | EO-2015177-000289 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | WISCONSIN COMPREHENSIVE ADVANCED LIFE SUPPORT UA |
| Organization’s Mailing Address | 13031 8TH ST PO BOX 144 |
| City | OSSEO |
| State | WI |
| ZIP | 54758 |
| Accounting period End | 6 |
| Primary contact name | BRENDA L LARSON EA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
BRADLEY GARBER
CHAIRMAN
N13975 SHAKY LANE
FAIRCHILD WI 54741
Officer/Director/Trustee Two
NICOLE SMITH
SECRETARY/TREASURER
N12900 COUNTY RD G
OSSEO WI 54758
Officer/Director/Trustee Three
SANDY DAHL
DIRECTOR
13300 11TH ST
OSSEO WI 54758
Officer/Director/Trustee Four
NICOLE SWETT
DIRECTOR
N51565 BUFFALO RD
OSSEO WI 54758
Officer/Director/Trustee Five
TERRY GONDERZIK
DIRECTOR
4806 180TH ST
CHIPPEWA FALLS WI 54729
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/1/2015 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B90 - Educational Services and Schools - Other |
| Organization’s purpose | Charitable: No 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 | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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