| Field | Data |
|---|---|
| EIN | 45-2704830 |
| Case Number | EO-2018075-000216 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CHIPPEWA VALLEY APHASIA GROUP INCORPORATED |
| Organization’s Mailing Address | PO BOX 64 |
| City | EAU CLAIRE |
| State | WI |
| ZIP | 54702 |
| Accounting period End | 12 |
| Primary contact name | MARY BETH CLARK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
MARY BETH CLARK
PRESIDENT
12831 150TH ST
CHIPPEWA FALLS WI 54729
MICHELE KNUTSON
TREASURER
2901 WELLINGTON DRIVE
EAU CLAIRE WI 54703
THOMAS SATHER
SECRETARY
1215 COLLINS CT
EAU CLAIRE WI 54701-7323
JERRY HOEPNER
MEMBER
1503 OLD ENGLISH RD
ALTOONA WI 54720
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/28/11 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P80 - Services to Promote the Independence of Specific Populations |
| Organization’s purpose | Charitable: Yes 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 | Yes |
| Correctness Declaration | Yes |
| Signature Name | MARY BETH CLARK |
| Signature Title | PRESIDENT |
| Signature Date | 3/14/18 |
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