FORM 1023-EZ for FRIENDS OF THE JOHNSON CREEK PUBLICLIBRARY

Field Data
EIN 81-4028007
Case Number EO-2021229-000080
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF THE JOHNSON CREEK PUBLICLIBRARY
Organization’s Mailing Address 125 LINCOLN STREET
City JEFFERSON
State WI
ZIP 53038
Accounting period End 12
Primary contact name AMY HANSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY HANSON
TREASURER
W5973 CTH B
JEFFERSON WI 53549

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B70 - Libraries
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name AMY HANSON
Signature Title TREASURER
Signature Date 8/15/2021
EIN 81-4028007
Case Number EO-2016298-000342
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF THE JOHNSON CREEK PUBLICLIBRARY INC
Organization’s Mailing Address 125 LINCOLN STREET
City JOHNSON CREEK
State WI
ZIP 53038
Accounting period End 12
Primary contact name AMY HANSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY HANSON
PRESIDENT
W5973 HWY B
JEFFERSON WI 53549

Officer/Director/Trustee Two

LUCI BLEDSOE
SECRETARY/TREASUER
125 LINCOLN STREET
JOHNSON CREEK WI 53038

Officer/Director/Trustee Three

JAN HERDEN
OFFICER
125 LINCOLN STREET
JOHNSON CREEK WI 53038

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B70 - Libraries
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 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 Yes
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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