| Field | Data |
|---|---|
| EIN | 84-2170249 |
| Case Number | EO-2019196-000115 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | JESSICA LINDBERG MEMORIAL INC |
| Organization’s Mailing Address | N8579 SEWARD DR |
| City | BERLIN |
| State | WI |
| ZIP | 54923 |
| Accounting period End | 12 |
| Primary contact name | ROBERT MALCHETSKE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
DANIEL LINDBERG
PRESIDENT
N1775 S MEDINA DRIVE
GREENVILLE WI 54942
JOHN EWALD
VICE PRESIDENT
1505 WATERFORD DRIVE
GREEN BAY WI 54313
LUKE GARROW
TREASURER
N1524 DEERHAVEN CT
GREENVILLE WI 54942
ERIC MUELLER
SECRETARY
4012 TOWNE LAKES CIRCLE
APPLETON WI 54913
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/25/19 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | W12 - Fund Raising and/or Fund Distribution |
| 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 | 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 | DANIEL LINDBERG |
| Signature Title | PRESIDENT |
| Signature Date | 7/11/19 |
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