FORM 1023-EZ for WAUPACA COUNTY SUICIDE PREVENTION COALITION INC

Field Data
EIN 83-1344072
Case Number EO-2018232-000579
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WAUPACA COUNTY SUICIDE PREVENTION COALITION INC
Organization’s Mailing Address 701 RIVERSIDE DRIVE
City WAUPACA
State WI
ZIP 54981
Accounting period End 12
Primary contact name JENNIFER LUBINSKI7
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEIDI CUFF
CO-CHAIR
701 RIVERSIDE DRIVE
WAUPACA WI 54981

Officer/Director/Trustee Two

ELISSA STULTS
CO-CHAIR
825 W FULTON
WAUPACA WI 54981

Officer/Director/Trustee Three

SANDI MOORE
SECRETARY
N8971 GRAHAM LAKE ROAD
IOLA WI 54945

Organization’s website WWW.WAUPACA-SAVES.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
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 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 SANDI MOORE
Signature Title SECRETARY
Signature Date 8/18/18

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