FORM 1023-EZ for BURNETT COUNTY FAMILY LITERACY

Field Data
EIN 47-2352759
Case Number EO-2015286-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BURNETT COUNTY FAMILY LITERACY
Organization’s Mailing Address 7401 WEST MAIN ST PO BOX 510
City WEBSTER
State WI
ZIP 54893
Accounting period End 9
Primary contact name ANNETTE M STARKITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DIANE LUND
VICE CHAIR
6379 STARR RD
SIREN WI 54872

Officer/Director/Trustee Two

SHARON BLANDING
TREASURER
8679 COUNTY RD U
DANBURY WI 54830

Officer/Director/Trustee Three

VERLA JOHANSSON
SECRETARY
29937 S NICABOYNE LAKE RD
DANBURY WI 54830

Officer/Director/Trustee Four

ANNETTE STARKITE
CHAIR
7521 MAIN ST W
WEBSTER WI 54893

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2014
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 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
Signature Title
Signature Date

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