FORM 1023-EZ for TRANSPLANT WISCONSIN INC

Field Data
EIN 22-3914805
Case Number EO-2020244-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRANSPLANT WISCONSIN INC
Organization’s Mailing Address PO BOX 45464
City MADISON
State WI
ZIP 53744-5464
Accounting period End 12
Primary contact name ANDREA GROSSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES EASTWOOD
PRESIDENT
W1174 DECATUR ALBANY RD
BRODHEAD WI 53520-9667

Officer/Director/Trustee Two

ROSE TORNOW
VICE PRESIDENT
1073 LAUDERDALE N
ONALASKA WI 54650-3296

Officer/Director/Trustee Three

JAMIE HAGENOW
SECRETARY
N8353 HACKER DR
BRILLION WI 54110

Officer/Director/Trustee Four

ANDREA GROSSE
TREASURER
7813 COBBLESTONE CIR
MIDDLETON WI 53562-3647

Organization’s website WWW.TRANSPLANTWISCONSIN.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2005
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANDREA GROSSE
Signature Title TREASURER
Signature Date 8/27/2020

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