| Field | Data |
|---|---|
| EIN | 84-3739567 |
| Case Number | EO-2021063-000799 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SEVEN RIVERS HOSPICE HOME INC |
| Organization’s Mailing Address | N1660 HAGEN ROAD |
| City | LA CROSSE |
| State | WI |
| ZIP | 54601 |
| Accounting period End | 12 |
| Primary contact name | JON BINGOL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
JON BINGOL
PRESIDENT
N1660 HAGEN ROAD
LA CROSSE WI 54601
KELLY KRAMER
TREASURER
3157 LINDEN DRIVE
LA CROSSE WI 54601
KRISTIN VAN HEYNINGEN
SECRETARY
1902 CROOKED ROAD
HOLMEN WI 54636
CARRIE LAPHAM
DIRECTOR
22360 PORTLAND PRAIRIE ROAD
CALEDONIA MN 55921
HILARY BINGOL
DIRECTOR
N1660 HAGEN ROAD
LA CROSSE WI 54601
| Organization’s website | SEVEN-RIVERS-HOSPICE-HOME-INC.BUSINESS.SITE |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/18/2019 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P74 - Hospice |
| 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 | No |
| Correctness Declaration | Yes |
| Signature Name | JON BINGOL |
| Signature Title | PRESIDENT |
| Signature Date | 12/30/2020 |
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