FORM 1023-EZ for BRODHEAD PIETENPOL ASSOCIATION INC

Field Data
EIN 82-3441313
Case Number EO-2018016-000617
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRODHEAD PIETENPOL ASSOCIATION INC
Organization’s Mailing Address 3911 WILNOR DR
City OREGON
State WI
ZIP 53575
Accounting period End 12
Primary contact name KEITH DOYON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK WEEDEN
PRESIDENT
3911 WILNOR DR
OREGOON WI 53575

Officer/Director/Trustee Two

MICHAEL WEEDEN
SEC/TRES
N3382 MONROE-SYLVESTER RD
MONROE WI 53566

Organization’s website
Organization’s email BPA@PIETENPOLS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/17
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
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 Yes
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 PATRICK WEEDEN
Signature Title PRESIDENT
Signature Date 1/14/18

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