FORM 1023-EZ for WRC NAVHDA WISCONSIN RIVER CHAPTER

Field Data
EIN 39-1940114
Case Number EO-2017240-000432
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WRC NAVHDA WISCONSIN RIVER CHAPTER
Organization’s Mailing Address 1811 BLUE RIDGE TRAIL
City WAUNAKEE
State WI
ZIP 53597
Accounting period End 12
Primary contact name TIM KILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACOB ZEUSKE
PRESIDENT
7416 RIVER ROAD
ARENA WI 53503

Officer/Director/Trustee Two

PETER FISK
VICE PRESIDENT
6681 WINDSOR RIDGE LANE
WINDSOR WI 53598

Officer/Director/Trustee Three

STEPHEN OHS
SECRETARY
4485 KENNEDY RD
COTTAGE GROVE WI 53527

Officer/Director/Trustee Four

TIM KILL
TREASURER
1811 BLUE RIDGE TRAIL
WAUNAKEE WI 53597

Organization’s website HTTP://WWW.WRCNAVHDA.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/1998
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D61 - Animal Training, Behavior
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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