FORM 1023-EZ for WISCONSIN HEALTH PROFESSIONALS FORCLIMATE ACTION INC

Field Data
EIN 85-1315658
Case Number EO-2020190-000014
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WISCONSIN HEALTH PROFESSIONALS FORCLIMATE ACTION INC
Organization’s Mailing Address 3918 PAUNACK AVE
City MADISON
State WI
ZIP 53711
Accounting period End 12
Primary contact name JESSICA HARRISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOEL CHARLES
STRATEGIC DEVELOPMENT CHAIR
11310 DEVITT DR
SOLDIERS GROVE WI 54655

Officer/Director/Trustee Two

CLAIRE GERVAIS
TREASURER/ SECRETARY
3918 PAUNACK AVE
MADISON WI 53711

Officer/Director/Trustee Three

PAMELA GUTHMAN
VICE CHAIR
27536 STATE HIGHWAY 27
HOLCOMBE WI 54745

Officer/Director/Trustee Four

CHIRANTAN MUKHOPADYAY
CHAIR
1680 LINDHURST DR
ELM GROVE WI 53122

Organization’s website
Organization’s email WISCONSINHPCA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C99 - Environmental Quality, Protection, and Beautification 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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CLAIRE GERVAIS
Signature Title TREASURER/ SECRETARY
Signature Date 7/4/2020

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