FORM 1023-EZ for BREASTFEEDING ALLIANCE OF NE WISCONSIN

Field Data
EIN 47-4286158
Case Number EO-2018276-000083
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREASTFEEDING ALLIANCE OF NE WISCONSIN
Organization’s Mailing Address 211 NORTH COMMERCIAL STREET
City NEENAH
State WI
ZIP 54956-2678
Accounting period End 12
Primary contact name BILLIE VERBRUGGEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESS MOYLE
PRESIDENT
100 NORTH APPLETON ST
APPLETON WI 54911

Officer/Director/Trustee Two

CINDY BRYLSKI BREIT
SECRETARY
410 SOUTH WALNUT
APPLETON WI 54911

Officer/Director/Trustee Three

BILLIE VERBRUGGEN
TREASURER
211 NORTH COMMERCIAL ST
NEENAH WI 54956

Organization’s website WWW.BFANWI.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/15
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BILLIE VERBRUGGEN
Signature Title TREASURER
Signature Date 10/1/18
EIN 47-4286158
Case Number EO-2015169-000269
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BREASTFEEDING ALLIANCE OF NORTHEASTWISCONSIN INC
Organization’s Mailing Address 211 N COMMERCIAL STREET
City NEENAH
State WI
ZIP 54956
Accounting period End 12
Primary contact name ATTORNEY KATHRYN M BLOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BILLIE VERBRUGGEN
PRESIDENT/TREASURER
2101 EDGEWOOD COURT
KAUKAUNA WI 54130

Officer/Director/Trustee Two

CINDY BRYLSKI-BREIT
VICE-PRESIDENT
211 N COMMERCIAL STREET
NEENAH WI 54956

Officer/Director/Trustee Three

ALLISON LAVERTY-MONTAG
SECRETARY
211 N COMMERCIAL STREET
NEENAH WI 54956

Officer/Director/Trustee Four

JERI LOWE
DIRECTOR
211 N COMMERCIAL STREET
NEENAH WI 54956

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S01 - Alliance/Advocacy Organizations
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 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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