FORM 1023-EZ for FRIENDS OF UNITED CEREBRAL PALSY OFWEST CENTRAL WISCONSIN INC

Field Data
EIN 39-1765153
Case Number EO-2015240-000239
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF UNITED CEREBRAL PALSY OFWEST CENTRAL WISCONSIN INC
Organization’s Mailing Address 206 WATER STREET
City EAU CLAIRE
State WI
ZIP 54703
Accounting period End 12
Primary contact name DAVID PILTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RUTH GULLERUD
PRESIDENT
206 WATER STREET
EAU CLAIRE WI 54703

Officer/Director/Trustee Two

CURT BLACK
IMMEDIATE PAST PRESIDENT
206 WATER STREET
EAU CLAIRE WI 54703

Officer/Director/Trustee Three

DENNIS JOHNSON
SECRETARY
206 WATER STREET
EAU CLAIRE WI 54703

Officer/Director/Trustee Four

PETER GROSSKOPF
PAST PRESIDENT
206 WATER STREET
EAU CLAIRE WI 54703

Officer/Director/Trustee Five

DAVID PILTZ
EXECUTIVE DIRECTOR
206 WATER STREET
EAU CLAIRE WI 54703

Organization’s website HTTP://UCPWCW.ORG/
Organization’s email DPILTZ@UCPWCW.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/1993
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T01 - 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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