FORM 1023-EZ for WASHBURN MEDITATION CENTER INC

Field Data
EIN 47-4220644
Case Number EO-2020155-000189
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WASHBURN MEDITATION CENTER INC
Organization’s Mailing Address 325 WASHINGTON AVENUE
City WASHBURN
State WI
ZIP 54891
Accounting period End 5
Primary contact name JODI ANN SUPANICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JODI SUPANICH
PRESIDENT
103 WILLIAMSON ROAD
WASHBURN WI 54891

Officer/Director/Trustee Two

LESLIE ALDRITT
SECRETARY
417 5TH AVENUE WEST
WASHBURN WI 54891

Officer/Director/Trustee Three

CHAN CLELAND
VICE PRESIDENT AND TREASURER
409 W 3RD STREET
WASHBURN WI 54891

Organization’s website WWW.WASHBURNMEDITATIONCENTER.COM
Organization’s email JODI@WASHBURNMEDITATIONCENTER.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X50 - Buddhist
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
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 JODI SUPANICH
Signature Title PRESIDENT
Signature Date 6/1/2020
EIN 47-4220644
Case Number EO-2017163-000195
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE WASHBURN MEDITATION CENTER
Organization’s Mailing Address 325 WASHINGTON AVENUE
City WASHBURN
State WI
ZIP 54891-1165
Accounting period End 12
Primary contact name JODI ANN SUPANICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JODI SUPANICH
PRESIDENT
103 WILLIAMSON ROAD
WASHBURN WI 54891-3410

Officer/Director/Trustee Two

CHAN CLELAND
VICE PRESIDENT AND TREASURER
409 W 3RD STREET
WASHBURN WI 54891-9421

Officer/Director/Trustee Three

LESLIE ALLDRITT
SECRETARY
417 5TH AVENUE WEST
WASHBURN WI 54891-9456

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X50 - Buddhist
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 Yes
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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