FORM 1023-EZ for WISCONSIN CHILDHOOD CANCER FOUNDATION

Field Data
EIN 84-3446364
Case Number EO-2019301-000800
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WISCONSIN CHILDHOOD CANCER FOUNDATION
Organization’s Mailing Address PO BOX 51
City PRAIRIE DU CHEIN
State WI
ZIP 53821
Accounting period End 12
Primary contact name LUKE CHRISTENSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUKE CHRISTENSEN
PRESIDENT
54147 MISCHEL RD
EASTMAN WI 54626

Officer/Director/Trustee Two

CURT CHRISTENSEN
VICE PRESIDENT
54147 MISCHEL RD
EASTMAN WI 54626

Officer/Director/Trustee Three

RENEE CHRISTENSEN
SECRETARY AND TREASURER
54147 MISCHEL RD
EASTMAN WI 54626

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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 LUKE CHRISTENSEN
Signature Title PRESIDENT
Signature Date 10/26/19

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