FORM 1023-EZ for WISCONSIN ASSOCIATION OF SENIOR CENTERS INC

Field Data
EIN 46-5598747
Case Number EO-2014275-000401
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WISCONSIN ASSOCIATION OF SENIOR CENTERS INC
Organization’s Mailing Address N7431 BURR OAK RD
City WHITEWATER
State WI
ZIP 53190
Accounting period End 12
Primary contact name DEBRA WEBERPAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK ZIEMER
PRESIDENT
200 N CAMPBELL RD
OSHKOSH WI 54903

Officer/Director/Trustee Two

KAREN NEUMAN
VICE PRESIDENT
142 WATER ST
BERLIN WI 54923

Officer/Director/Trustee Three

MARCIA HENDRICKSON
TREASURER
128 E OLIN AVE SUITE 110
MADISON WI 53716

Officer/Director/Trustee Four

CAROL LAFONTAINE
DELEGATE
W63N643 WASHINGTON AVE
CEDARBURG WI 53012

Officer/Director/Trustee Five

BARB PRITZL
DELEGATE
601 MAIN ST
AUGUSTA WI 54722

Organization’s website WWW.WISENIORCENTERS.ORG
Organization’s email DEB.WEBERPAL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2014
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P03 - Professional Societies, Associations
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 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
Signature Title
Signature Date

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