FORM 1023-EZ for WISCONSIN COMMUNITY MEDIA PROGRAM FUND

Field Data
EIN 86-2679727
Case Number EO-2021162-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WISCONSIN COMMUNITY MEDIA PROGRAM FUND
Organization’s Mailing Address 4209 BAGLEY PARKWY
City MADISON
State WI
ZIP 53705-5153
Accounting period End 12
Primary contact name MARY CARDONA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAKE TIMM
PRESIDENT
E6728 BUTTERNUT ROAD
MANAWA WI 54949-8606

Officer/Director/Trustee Two

DEB BRUNETT
TREASURER
W2548 VIOLET LANE
MERRILL WI 54452-8811

Officer/Director/Trustee Three

WILL NIMMOW
VICE-PRESIDENT
582 GRACE STREET
VERONA WI 53593-1674

Officer/Director/Trustee Four

TIM MONTGOMERY
SECRETARY
597 HAMILTON COURT
RIVER FALLS WI 54022-3126

Officer/Director/Trustee Five

MARY CARDONA
BOARD MEMBER
4209 BAGLEY PARKWAY
MADISON WI 53705-5153

Organization’s website NA
Organization’s email EXEC@WISCONSINCOMMUNITYMEDIA.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2021
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
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 Yes
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 MARY CARDONA
Signature Title BOARD MEMBER
Signature Date 6/9/2021

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