FORM 1023-EZ for FRIENDS OF THE GRIGNON MANSION INC

Field Data
EIN 46-4305132
Case Number EO-2015225-000258
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF THE GRIGNON MANSION INC
Organization’s Mailing Address PP BOX 513
City KAUKAUNA
State WI
ZIP 54130-3120
Accounting period End 12
Primary contact name CRAIG LAHM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRUCE WERSCHEM
PRESIDENT
1905 HENDRICKS AVENUE
KAUKAUNA WI 54130-3415

Officer/Director/Trustee Two

KELLI WERSCHEM
SECRETARY
1905 HENDRICKS AVENUE
KAUKAUNA WI 54130-3415

Officer/Director/Trustee Three

JOYCE ABEL
TREASURER
100 RIVER STREET
KAUKAUNA WI 54130-1926

Officer/Director/Trustee Four

JOE DEBRUIN
DIRECTOR
301 WEST WISCONSIN AVENUE
KAUKAUNA WI 54130-2127

Officer/Director/Trustee Five

AL BORCHARDT
DIRECTOR
216 HAYES STREEE
KAUKAUNA WI 54130-1310

Organization’s website WWW.GRIGNONMANSION.ORG
Organization’s email INFO@GRIGNONMANSION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A82 - Historical Preservation
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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