FORM 1023-EZ for INFRAGARD WISCONSIN MEMBERS ALLIANCE INC

Field Data
EIN 81-1389941
Case Number EO-2016060-000099
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INFRAGARD WISCONSIN MEMBERS ALLIANCE INC
Organization’s Mailing Address 2122 DAY STREET
City GREENLEAF
State WI
ZIP 54126
Accounting period End 12
Primary contact name NICHOLAS BARTOSCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ADAM WILLIAMS
PRESIDENT
1800 NORTH POINT DRIVE
STEVENS POINT WI 54481

Officer/Director/Trustee Two

BETH SCHOWALTER
VICE PRESIDENT
1100 EMPLOYERS BLVD
GREEN BAY WI 54344

Officer/Director/Trustee Three

NICHOLAS BARTOSCH
TREASURER
2122 DAY STREET
GREENLEAF WI 54126

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2015
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 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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